Ernst & Young Entrepreneurial Winning Women program: nomination form


If you would like to nominate an outstanding woman entrepreneur to be an Ernst & Young Entrepreneurial Winning Woman, please complete the following form:

Your information 
Required fields*

Your name*:
Your title:
Your company:
Your address:
Your city:
Your state/prov:
Your ZIP/Postal code:
Your phone:
Your email*:

Nominee information
Required fields*

Nominee's name*:

Nominee's title:

Nominee's company:

Nominee's address:

Nominee's city:

Nominee's state/prov:

Nominee's ZIP/Postal code:

Nominee's phone:

Nominee's cell phone:

Nominee's email*:

Nominee's industry

How did you hear about the Entrepreneurial Winning Women program?

Committee of 200

Kauffman Foundation

National Association of Women Business Owners (NAWBO)

Women's Business Enterprise National Council (WBENC)

Women Presidents' Organization (WPO)

University alumnae outreach (specify school):


Print media

Broadcast media

Ernst & Young professional

Direct email solicitation

Advisor (banker, attorney, board member, PR firm)

Other, please indicate:

Thank you for your nomination. An application form will be sent to the nominee to complete and sign.