NFBPWC Nominee Awards Application Form
Please review the full application (PDF) before submitting your nominee through this form
PLEASE READ FIRST
Please review the full application (PDF) below before submitting your nominee through this form. Do not print or mail this document; it is for viewing only.
Application for Nominees Awards at National Conference
Categories
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Person of Distinction (Non-NFBPWC Member)
Person of Distinction (NFBPWC Member)
Emerging Young Leader (18 to 35 years of age – NFBPWC
Membership not required)
Entrepreneur of Distinction (NFBPWC Membershipnot required)
Your Information
The individual, Federation or Affiliate making the nomination
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First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Upload Resume
*
Browse Files
Drag and drop files here
Choose a file
Please upload your current resume to the form.
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of
Date of Nomination
*
-
Year
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Month
Day
Date Picker Icon
Please submit this form by June 5th, 2026.
Nominee's Information
Individual or Business Owner’s Name(s)
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Why have you nominated this person/business and address the criteria for the specific award listed above. Refer to page 3 of the Nominee Awards Application (View Only) PDF above for suggested guidance.
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