Nomination Form - NexGen Leaders Award

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NexGen Leaders Award Nomination Form

NAEM NexGen Leaders Awards recognize rising environment, health and safety, and sustainability (EHS&S) managers who possess the talent and skills required for the next generation of EHS&S industry leadership.

DEADLINE TO SUBMIT: DATE

*Indicates required field

Before you begin: The nomination form requests the nominee’s professional bio and headshot.

Nominee's Name

Nominee's Title/Position

Years in Profession

Nominee's Email*

Nominee's Phone*

Nominee's Company

Nominator's Information

Nominator’s Name

Nominator's Title/Position

Relationship to Nominee

Nominator's Email*

Nominator's Phone*

Nominator’s Company

Describe a situation in which the nominee exhibited effective influence within your organization. Further define any technical expertise, business acumen and/or emotional intelligence that contributed to the nominee's effectiveness. (500 word max.)*

IF AVAILABLE: Attach nominee's bio.

Please upload a file no larger than 5MB.

IF AVAILABLE: Attach a headshot of the nominee.

Please upload a file no larger than 5MB. Recommended photo specifications are 300 dpi and at least 800x800 pixels.

Explain a situation where the nominee achieved exceptional results within their area of responsibility. Include relevant metrics or KPIs as proof of impact. (500 word max.)*

Provide an example of how the nominee's decision-making skills and/or problem-solving approach supported a positive outcome. (500 word max.)*

Offer examples to illustrate the nominee's dedication to lifelong learning and professional development. (500 word max.)*

Provide evidence of the nominee's commitment to the fields of EHS&S. Examples may include: serving on the organization's safety committee, volunteering for environmental / sustainable causes, or writing for industry publications. In addition, share any professional impressions of the nominee's commitment to EHS&S. (500 word max.)*

Nominator's Signature*

By electronically signing this nomination form, you certify that all information provided is accurate and complete to the best of your knowledge.

Please ensure that your nomination form is complete before clicking "Submit." You will not be able to make changes after doing so.

Don’t Lose Your Work!

If you close the browser window or navigate to a different web page prior to submission, your data will not be saved. If you prefer to complete the form in multiple sessions, we encourage you to save your work in an offline document.

The NAEM Excellence Awards Program is managed by the National Association for EHS&S Management (NAEM). Nominees are evaluated by an independent panel of judges. Neither NAEM nor its sponsors influence the selection of award recipients.

NexGen Leaders Award Nomination Form

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