Lifetime Achievement Award

Application Deadline Extended: All applications are by 5 p.m. on Sept. 15, 2022. Applications received after the deadline will not be considered.

Complete this form to apply for the Lifetime Achievement Award.

Please note that all fields are mandatory. If you have any questions, please email events@ibmadison.com.

Name
First Last
Company
Job Title
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Phone
Company Information
Date Founded
Company Description
Number of Employees for 2019 Fiscal Year
Website
Nominee Qualifications
Length of Time at Company
Length of Time in Current Position
Is this person be considered for the Lifetime Achievement Award?
- Yes
- No
How has the nominee contributed to the company's growth, innovation and profitability over the course of his/her career? (Please provide examples and quantitative data as support.)
How has the nominee demonstrated leadership within the organization over the course of his/her career?
Describe the nominee's career history and significant achievements.
Nominated By: Name
First Last
Company
Title
Email
Phone

Digital Edition