2026 Influential Women Nominee Application

Congratulations! You have been nominated for an Influential Women Award.
Influential Women Awards are inspired by the strength and courage of women
making a difference in their field.

Eligibility Requirements

Nominees must be a female.
Nominees must work or live in Northwest Indiana.
There are no costs for nominees to fill out their applications.
Nominees will need to purchase a ticket to attend the banquet.
Nominees can purchase tickets at the NWIIWA member price.
Women do not need to be a member of NWIIWA to submit their application or win an award.
Create an account or login, this will allow you to save your application and come back to finish it later.
Be sure to submit a professional headshot.

Past winners cannot win again in the same category at the same experience level. For example: If you won Influential Woman of the Year in Arts, you cannot win Influential Woman of the Year in Arts again.

However, if you won Up & Coming in Service, you can win again as Influential in Service. Or, if you win as Up & Coming in one category you are eligable to win Up & Coming in a different category. The same is true for Influential.

The Influential Women of Northwest Indiana Awards Banquet is September 24, 2026.

For tickets and sponsorship information please visit:

Submissions are due no later than May 31, 2026.

Nominee

Name:*

First NameLast Name

Name as you'd like it to appear on supplemental material/website:*

First NameLast Name

Preferred Email:*

example@example.com

Personal Info:

Home Address:

Ex: 1190 Erie Ct, Unit B

City

State

Zipcode

Mobile Phone:*

Please enter a valid phone number.Format: (000) 000-0000.

Company Info:

Company/Organization:*

Title/Position:*

Business Address:*

Ex: 1190 Erie Ct, Unit B

City*

State*

Zip Code*

Business Phone:

Please enter a valid phone number.Format: (000) 000-0000.

Company name as you'd like it to appear on supplemental material/website:*

If applicable:

Immediate Supervisor/Partner:

Immediate Supervisor/Partner Phone:

Please enter a valid phone number.Format: (000) 000-0000.

Immediate Supervisor/Partner Email:

example@example.com

To ensure accuracy, we request that you choose your award and industry category. (Up-and-Coming is typically 15 years or less, while Influential is typically more than 15 years.)

Up and Coming WomanInfluential Woman

How many years in field:*

There are 12 industry categories. Please choose the most accurate category. You may choose two categories if applicable.

Choose Industry Category:

Primary:*

Secondary:*

The following section is about your personal journey. Tell us about your strength, courage, success, and commitment.

1. Describe your journey in your chosen field. How did you get where you are?*

2. Describe any obstacles you have overcome in your life/career.*

3. Why are you in your chosen field?*

4. What is your current job role/responsibilities?*

5. Discuss any recognition and/or contributions you have made to your field, include education qualifications and any professional associations you belong to.*

Please fill out the above or upload documents here.

6. Each candidate is evaluated on individual merit. You may include/attach other acknowledgments.

Below is a list of suggested items. This list is not exhaustive nor required.
a. Awards
b. Publications
c. Articles
d. Letters of Recommendation (Limit 2)
e. Certificates

Upload documents here.

7. Describe any community involvement, volunteer activities, and length of service and/or offices held at services organizations.*

8. Please upload a professional headshot here.

Each candidate is asked to provide a professional headshot photo of themselves.
This may be used for recognition and banquet purposes.

Awards Application