ATHENA nomination Form

Please note, this is the first step in the nomination process. This form will be used in the initial selection of qualifying individuals. From the nominations, a selection committee will choose 4-6 qualifying nominations. If your nominee is chosen as a qualifier, you will be asked to complete a comprehensive application to elaborate on the nominee’s qualifications and achievements in specific areas.


Tip: The selection committee will only consider the information included in this nomination when choosing qualifiers. In composing your nomination, please assume that the committee has no prior knowledge of the nominee.  

  • Please choose one. Ideally, a nominee for the ATHENA Young Professional award would not be a nominee for the ATHENA Leadership award. Your nominee will ONLY be considered for the award you select.
  • Nominee Information

  • We will not be contacting the nominee for any reason regarding this award.
  • Nominator Information

    If for any reason your (the nominator's) contact information changes, please contact Women's Network. If your nominee is chosen as a qualifier and we cannot reach you using the contact information provided below, your nominee will no longer be considered.
  • This field is for validation purposes and should be left unchanged.

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