WEF Annual Award Nomination Form
First Name:  (Required)
Last Name:  (Required)
Email:  (Required)

Name of person being nominated:  (Required)
Nominees title, if known:
Nominees employer:  (Required)
Nominees mailing address  (Required)

Nominees phone:  (Required)
Nominees email:  (Required)
Select an award:  (Required)
Choose 1
Nomination Information:  (Required)

Your Phone Number:  (Required)
Please enter the letters you see in the image above