Questionnaire | Influential Women

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Influential Women of the Sierra Nevada Awards

2021 Finalist Questionnaire

Please submit by close of business on Tuesday, September 14

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Name*
First Last
Email*
Company Name
Job Title
Address*
(in case we need to mail an award)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Please list Boards or Professional Associations to which you currently belong and indicate your role (member/board member/officer) and for how long you have held this position.
Volunteer Work - Please list any organizations for which you volunteer and indicate your role (volunteer/board member/officer) and for how long you have been active in this role.
Tell us why you choose to volunteer for or support the organization or association that means the most to you. (500 words / 3375 characters or less)
Tell us why you think other people view you as an influential woman. (500 words / 3375 characters or less)*
If there were one thing you could change in our community, what would it be. And how can you use your influence to make it happen? (500 words / 3375 characters or less)*
Please upload candid photos of you at work, with your family, and/or volunteering
(please send 3-5, maximum 5)
File specifications: Minimum 200 dpi, .jpg or .png files, maximum file size: 3MB
Drop files here or

Accepted file types: jpg, png, jpeg, Max. file size: 3 MB, Max. files: 5.
If you are having trouble sending photos through this form, please message Keri here and we'll work with you directly.
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