First Name
Last Name
Business Title
Company Name
Business Address
City, Province, Postal Code
Telephone Number
Email Address
Company Website
Personal Website/LinkedIn
Full Name
Email Address 1. Why do you believe the Nominee should be selected?
2. Tell us about the Nominee’s experience and industry she is in:
3. List the SDGs the Nominee’s business supports.
4. How does the business support the 1st SDG selected?
5. How does the business support the 2nd SDG selected?
6. Are there other SDGs selected? If so, list them.