Nominee Information:

First Name
Last Name
Work Email Address
Personal Email Address 
Job Title
Company Name
Company Address
Contact Number
Age as of 05/06/2026
Date of Birth
Social media handles, if applicable (Twitter, Instagram)

Nominator Information:

First Name
Last Name
Email Address
Job Title
Company Name
Company Address
Contact Number

Nomination Form:

• Why should PRWeek consider this employee? (300 words)
• Nominee job history (300 words)
• Nominee career accomplishments (300 words)
• Nominee outside activities and accomplishments unrelated to the PR industry (i.e. charitable groups, personal interests, academic accomplishments, family life, etc.) (300 words)
• Nominee industry contributions (i.e. professional trade group involvement, adjunct professorships, etc.) (300 words)
• Nominee efforts to promote D&I at their organization (300 words)
• Confidential information. If you have any confidential information that cannot be viewed by the general public or published anywhere, please write it here. This information will be reserved for the judging panel only. (150 words)
• Please upload a headshot of your nominee. Nominee headshot must be color, 300 dpi, and preferably professionally shot. Images should be no smaller than 3".