Membership Nomination Form

Nominator details

Name of nominator

Nominator's contact phone

Nominator's contact email

Nominee details

Name of nominee

Current organisation

Current position

Nominee's contact phone

Nominee's contact email

Nominee background

Memberships, boards and associations

Experience

Education

Summary Biography

Nomination criteria

Choose the option that best reflects the extent to which the nominee meets the nomination criteria and provide a brief explanation in the boxes provided to justify your rating.

 

Held senior leadership OR position of influence for 5 years or more or started and grown own business

Choose one

Brief explanation

 

International experience in leadership roles OR significant contribution to community

Choose one

Brief explanation

 

Demonstrates thought leadership in their industry

Choose one

Brief explanation

 

Demonstrates vision and ideas beyond own industry

Choose one

Brief explanation

 

Global connections in sector, industry or community

Choose one

Brief explanation

 

Strong industry, sector or community profile and connections at senior levels

Choose one

Brief explanation

 

Demonstrates experience in developing emerging talent

Choose one

Brief explanation

 

Demonstrates commitment to contribute to Global Women

Choose one

Brief explanation

By submitting this form you state your believe that the nominee fully meets the Global Women membership criteria and has the ability to make a broader contribution to lift diversity of leadership in New Zealand.

The nomination will be reviewed at the next membership committee meeting, and then put forward for discussion at the following board meeting. Refer to our website for specific dates.