Nominate a trailblazing woman in your circle who has opened doors and broken down barriers; paving the way for generations of young women.
Please complete and submit this preliminary nomination form, in its entirety, by November 11, 2012. In the event that we require additional information from you, regarding your nominee, Philadelphia magazine will contact you directly using the information you provide below.
Nominee must be a female resident of Pennsylvania, New Jersey, or Delaware
Nominee must be in a leadership role at her current place of employment or organization
Nominee's employer or place of business must have been in existence for three or more years
Nominee cannot be a member of the 2013 Trailblazer Nominating Committee or a member of the 2013 Committee's immediate family
ALL NOMINATION FORMS MUST BE SUBMITTED BY NOVEMBER 11, 2012.
Questions or concerns? Contact Adrienne Simpson at 215-279-8316 or email@example.com.