Official Application
Application deadline: July 19, 2013 5:00 p.m.
Submit completed applications to:
The Business Journal will select 10 honorees with the help of an advisory panel that includes former recipients and key business leaders. Honorees will then be recognized at a cocktail reception in October and profiled in the Business Journal.
NOTE: To be eligible, the nominee must hold the highest executive position within the company. The company must be based in Broward County.
Directions:
1) Please fill out this application in its entirety. Please save this application as a Word document clearly titled with the applicant’s company and name of event. For example: JohnDoeCo.– pbceo.doc. Please also make sure the name of document appears in the header on every page.
2) Please submit a high resolution photograph in JPEG format. Please title the photograph with the same name as the application. See the photo requirement guidelines on the last page of the application for specifications.
3) Questions? Contact Farrah Santana at or (954) 949-7503.
More information: Please visit the South Florida Business Journal’s event website for updates to this event and others at: http://southflorida.bizjournals.com/southflorida/event/. While there you can also sign up to receive event announcements by logging in and changing your account preferences to include publisher’s announcements for South Florida.
Please fill in the required questions below with as much detail as possible. Please limit each response to 500 words.
Required Information
Nominee’s First Name:
Nominee’s Last Name:
Nominee’s Company Name:
Nominee’s Title:
Nominee’s Phone Number:
Nominee’s Email Address:
Industry:
How long has the nominee held this position?
Provide a description of the company:
Number of employees? (local/global)
Annual Revenue for 2012:
Describe the nominee's relationship with employees. Describe his/her leadership style and what affect it has on staff and company/organization performance.
Tell us about the company's financial performance. Has there been any major mergers or acquisitions? Increased revenue or maintained profitably? Gained new clients?
Tell us about the nominee’s community and civic involvement. This includes industry associations & community service.
Please attached a bio or additional supporting information.