2016 Women in Technology Nomination Form

Created in 1995 to recognize and honor leading women technology professionals, the annual Women in Technology Award acknowledges the achievements of one woman who has demonstrated outstanding personal and professional growth and significantly contributed to the cable telecommunications industry. The Women in Technology Award is presented in partnership with the Society of Cable Telecommunications Engineers (SCTE) and its global arm, the International Society of Broadband Experts (ISBE), Women in Cable Telecommunications (WICT) and Cablefax.

Criteria include:

·  Exhibit a high level of knowledge, skill and professionalism regarding technology in the cable telecommunications industry

·  Exhibit continued investment in their own professional, technical and personal growth

·  Exhibit commitment to the industry’s professional activities through community activity, professional society involvement, company affinity groups, etc.

·  Encourage and invest in mentoring others in the cable industry

·  Demonstrate a proven track record of success in contributing to their company and the cable telecommunications industry

·  Current membership in both WICT and SCTE/ISBE

All nominations must be received by 5:00 pm Eastern, on Friday, July 8, 2016.

Nominee:
Title:
Company:
Address:
City: / State: / Zip:
Phone: / Email:
Nominator:
Title:
Company:
Address:
City: / State: / Zip:
Phone: / Email:
Is the nominee a current WICT member? / Is the nominee a current SCTE member?

NOMINATION SUPPORT

Please describe the level of knowledge and skill the nominee has regarding technology in the cable telecommunications industry:

How has the nominee demonstrated continued investment in knowledge, skill and professional growth?

What community and professional activities has the nominee been involved in that enhances the perception of the industry and of women in technology?

To what extent has the nominee invested her time in mentoring others in the industry?

Please describe the nominee’s track record of successes with her company and within the cable telecommunications industry:

Please provide at least three professional references:
Reference 1:
Name:
Title:
Company:
Relationship with nominee:
Business Phone: / Business Email:

Reference 2:

Name:
Title:
Company:
Relationship with nominee:
Business Phone: / Business Email:

Reference 3:

Name:
Title:
Company:
Relationship with nominee:
Business Phone: / Business Email:

All nominations must be received by 5:00 pm Eastern, on Friday, July 8, 2016.

Please submit nomination to:

Talton Gibson, , 202-827-4782

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