Long-Island-Athena-Young-Professional-Nomination-Form-2018-1

2018 LONG ISLAND ATHENA YOUNG PROFESSIONAL AWARD NOMINATION INSTRUCTIONS The ATHENA Young Professional Leadership Award is an international award presented to emerging women leaders across professional sectors for exemplary leadership A natural extension of the original ATHENA Leadership Award, which has honored nearly 6,000 established women leaders worldwide, the ATHENA Young Professional Leadership Award was established in 2007 by ATHENA International and is nationally underwritten by KPMG For more information, please visit: www.athenainternational.org THE CRITERIA ATHENA Young Professional Nominees are emerging women leaders Past recipients of this award have shown true dedication to their community and their profession ATHENA Young Professional nominees are women leaders who meet each of the following criteria: • • • • Is establishing herself as a business leader; demonstrating excellence, creativity and initiative Is seen as a role model for younger women both professionally and personally Is seen to provide valuable service to improve the quality of life for others in her community; is viewed as an advocate for others Is building relationships with people inside and outside of her network; drawing upon her network to collaborate and help enrich the lives of others QUALIFICATIONS • • • • They may represent either the profit or not-for-profit sector All nominees must live and work on Long Island A minimum of years of professional experience demonstrating progressive advancement through their career Must be able to demonstrate volunteerism or some form of community outreach internal and external to their workplace role COMPLETING THE FORM • • • • • For nominees- you are encouraged to work with your nominator closely to complete this form Self-nominations are also welcomed For nominators- you are encouraged to work with your nominee closely to complete this form Nominations must be submitted using this nomination form and format You have the option to include no more than two pages of additional information about your nominee Prior year ATHENA Young Professional Leadership Award recipient biographies are attached for your reference The Athena Awards are awarded without regard to race, color, creed, religion, sexual orientation, marital status, national origin, age, gender, disability or other protected status.  2017 Athena YPL Finalist Biographies.pdf • • Visit the ATHENA LI LinkedIn group to download this form and submit your nomination to below KPMG contact Deadline for submission is August 31, 2017 The Athena Awards are awarded without regard to race, color, creed, religion, sexual orientation, marital status, national origin, age, gender, disability or other protected status.  THE PROCESS A selection committee comprised of a diverse group of community leaders will review all nominations and select an ATHENA Young Professional Award Recipient Finalists for this award will be asked to attend the following: • Finalist video shoot – November 2, 2017 • Finalist cocktail reception – November 13, 2017 • Athena Award breakfast reception – January 2018 (Date TBD) Selection Committee: Theresa Ahlstrom, Partner – KPMG LLP Sallyanne Ballweg, Adjunct Professor, Hofstra University Linda Chan, VP Digital and Commercial Solutions, The Nature’s Bounty Co Domenique Camacho Moran, Partner, Farrell Fritz P.C Roslyn Goldmacher, President & CEO, Long Island Development Corporation Adam Losner, Vice President and Head of Corporate Audit, Broadridge Financial Solutions, Inc Humera Qazi, Managing Director – KPMG LLP Carol Rodriguez-Bernier, Director of Human Resources Strategy and Planning, Henry Schein, Inc Elissa Roseman, Vice President, Finance, The Estee Lauder Companies Inc Deborah Schif , SVP, Strategy and Business Development, Northwell Health Martha Stark, Group Director, SVP, Signature Bank Jennifer Tuschong, Director, R&D Process Development, The Estee Lauder Companies Inc QUESTIONS / ADDITIONAL INFORMATION Contacts: Theresa Ahlstrom, tahlstrom@kpmg.com or 631-425-6027; or Humera Qazi, hqazi@kpmg.com or 631-425-6054 RETURN COMPLETED FORM TO Long Island KPMG Network of Women – lvalentine@kpmg.com or fax to 631- 9569246 The Athena Awards are awarded without regard to race, color, creed, religion, sexual orientation, marital status, national origin, age, gender, disability or other protected status.  Long Island ATHENA Young Professional Award Nomination Form (page of 2) Date _ How did you hear about the ATHENA Award? _ _ NOMINEE Name _ Age: _ Home Address _ City State/Province Zip/Postal Code Phone _ Email Company/Organization Name Title/Position _ Business _ City _ _ State/Province Work Phone _ Address Zip/Postal Business Code Email The Athena Awards are awarded without regard to race, color, creed, religion, sexual orientation, marital status, national origin, age, gender, disability or other protected status.  NOMINATOR (Self Nominations are accepted.) Name _ Company/Organization Business _ City Code State/Province Phone _ _ Name Address Zip/Postal Email The Athena Awards are awarded without regard to race, color, creed, religion, sexual orientation, marital status, national origin, age, gender, disability or other protected status.  Long Island ATHENA Young Professional Award Nomination Form (page of 2) I PROFESSIONAL LEADERSHIP Provide specific examples of how the nominee is an emerging leader in her chosen profession II PERSONAL LEADERSHIP/ MENTORSHIP Provide specific examples of how the nominee serves as a role model for young women personally and professionally, and/or how she actively supports women in realizing their full leadership potential III COMMUNITY LEADERSHIP- to be answered by the nominee only Provide specific examples of how you provide valuable service to improve the quality of life for others in their community Please include specific details on community eforts outside of your primary job responsibilities Include type and length of service in civic and service organizations and initiatives The Athena Awards are awarded without regard to race, color, creed, religion, sexual orientation, marital status, national origin, age, gender, disability or other protected status.  ADDITIONAL INFORMATION PERTAINING TO CRITERIA You have the option to include no more than two pages of additional information about your nominee The Athena Awards are awarded without regard to race, color, creed, religion, sexual orientation, marital status, national origin, age, gender, disability or other protected status.