LATAM 2023 Award Nomination

PLEASE NOTE: Nominee must reside in LATAM.

All fields are mandatory, unless otherwise indicated.

About You (Nominator)

Nominator First Name:*

Nominator Last Name:*

Nominator Organization:*

Nominator Job Title:*

Nominator Email Address:*

example@example.com

Nominator Phone Number*

Area CodePhone Number

About Your Nominee

Nominee First Name:*

Nominee Last Name:*

Nominee Organization:*

Nominee Job Title:*

Nominee Email Address:*

example@example.com

Nominee Phone Number*

Area CodePhone Number

Nominee Linkedin Profile*

Home Address 1:*

Address 2:*

City:*

Country:*

Postal/Zip Code:

Award Details:

For which category are you nominating this candidate?:*

Please describe how the nominee meets the criteria for this award:*

(Min 500 - Max 1,000 characters)

Briefly outline the nominee's experience in her organization or within the payments industry in the areas of leadership, mentorship, integrity and diversity.*

(Min 500 - Max 1,000 characters)

Briefly describe the nominee's most significant achievement(s) in her organization or the payments in the areas of leadership, mentorship, integrity and diversity. Provide examples of initiatives, efforts, programs and/or policies that have contributed to her successes.*

(Min 500 - Max 1,000 characters)

List any recognition or awards received by the nominee, the organization that awarded them and date awarded.*

Please provide a biography for the candidate*

(Min 500 - Max 1,000 characters)

Upload a profile picture of the nominee (max 1000 x max 1000 pixels, 2MB)*

Browse Files

Reference 1:

Ref 1. First Name:*

Ref 1. Last Name:*

Ref 1. Organization:*

Ref 1. Job Title:*

Ref 1. Email Address:*

example@example.com

Ref 1. Phone Number*

Area CodePhone Number

What is the capacity in which they know the nominee?*

(Min 100 - Max 300 characters)

What are the reasons that this reference supports this nominee?*

(Min 100 - Max 300 characters)

Reference 2:

Ref 2. First Name:*

Ref 2. Last Name:*

Ref 2. Organization:*

Ref 2. Job Title:*

Ref 2. Email Address:*

example@example.com

Ref 2. Phone Number*

Area CodePhone Number

What is the capacity in which they know the nominee?*

(Min 100 - Max 300 characters)

What are the reasons that this reference supports this nominee?*

(Min 100 - Max 300 characters)

Reference 3:

Ref 3. First Name:*

Ref 3. Last Name:*

Ref 3. Organization:*

Ref 3. Job Title:*

Ref 3. Email Address:*

example@example.com

Ref 3. Phone Number*

Area CodePhone Number

What is the capacity in which they know the nominee?*

(Min 100 - Max 300 characters)

What are the reasons that this reference supports this nominee?*

(Min 100 - Max 300 characters)

NOMINATE A CANDIDATE