WEB 2026 Nomination Form
We are excited to announce the Chamber is accepting nominations for the 2026 Women Excel Bloomington (WEB) Awards. WEB has a history of recognizing local, civic-minded women from various backgrounds and professions who mentor others and lead by example. Through their actions and initiatives, these women serve as an inspiration and demonstrate outstanding leadership in all they do. Nominations will close on Friday, June 26th at 5:00pm.
Nominator Information
Your Name
*
First Name
Last Name
Your relation to nominee
*
Your Email
*
example@example.com
Your Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Nominee Information
Nominee's Name
*
First Name
Last Name
Nominee's Organization
*
Nominee's Title/Occupation
*
Nominee's Supervisor, Boss, etc.
Nominee's Email
*
example@example.com
Nominee's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Nominee's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is the nominee aware of your submission?
*
Please Select
Yes
No
Unsure
Nomination Criteria
Is the nominee at least 21 years of age or older?
*
Please Select
Yes
No
Unsure
Is the nominee a previous award winner?
*
Please Select
Yes
No
Unsure
Please check the list on the website.
Is the nominee a Chamber Member?
*
Please Select
Yes
No
Unsure
Not sure? Check out if their organization is with the Business Directory (https://web.chamberbloomington.org/atlas/directory/search)
If the nominee is not a Chamber Member, do they live outside of Monroe County?
Please Select
Yes
No
Unsure
Nomination
Do you want this individual to be considered for the Mae Cassady Lifetime Achievement Award?
*
Please Select
Yes
No
Review the award criteria on the PDF above, then provide information and details that demonstrate and support your nominee as deserving of this award. You may submit additional nomination support by uploading files below.
*
Please upload any supporting files (testimonies, reports, news etc.)
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Headshot, pictures and/or videos of them in their field, and any additional images to include as you see fit
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Nominee's Organization of Employment Logo if applicable
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