RockIT Women

2024 Rising Star Award Nomination

Follow Up Form

Congratulations on being nominated for the Rising Star Award. The Purpose of this award is to honor a woman in the beginning stages of her career who exemplifies potential and the future of women in technology. She is working in the technology trenches daily, making a substantive contribution to her organization or field.

Below you will see the weight that our judges will put to each of the categories. The form you fill out below, will help to ensure that they have all the pertinent data to make their selection.

If you have any questions or issues with the form, please contact: Aly Flagel Goldberg cell 502-457-9986 / aly@rockitwomen.com

Experience:
- 10 Years or less in technology related field
Achievement (25%)
- Achieved a high level of competency.
- Demonstrates success at implementing or promoting technology
- Willing to take on new roles or projects
- Focused on learning
Leadership (25%)
- Demonstrates the ability to create and implement a vision for herself and others.
- Motivates people in her sphere of influence and has a tangible track record to show it.
- Leads by example. Inspires people in her sphere of influence to take smart risks and to drive positive change in their current and future professional lives.
Community Engagement (25%)
- Engages in activities beyond her job responsibilities that contribute to helping and improving conditions of or for others in the technology community.
- Focuses on efforts to advance the growth of girls and women in the technology industry.
Diversity (25%)
- Proven track record of engaging in activities that focus on increasing access for a diversity of women (i.e. persons from underrepresented ethnicities, socioeconomic statuses, etc.)

Your Information

First Name

Last Name

Email

Your Phone

(###)

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Company

Title

Please describe your business experience.

Please describe any mentorship that you have provided to women in technology.

Please describe how you have contributed to leadership.

Please describe how you have contributed to community engagement.

Please describe how you have contributed to diversity.

LinkedIn Profile Page Address

http://

Check the box to acknowledge the following:

I hereby grant the Fehr Event Group, RockIT Women, Vital Projects Ohio LLC, and the Women in Technology Conference Louisville permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications and social media, without payment or other consideration. I understand and agree that all photos will become the property of the Fehr Event Group and will not be returned. I hereby irrevocably authorize the the Fehr Event Group, RockIT Women, Vital Projects Ohio LLC, and the Women in Technology Conference Louisville to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo. I hereby hold harmless, release, and forever discharge the the Fehr Event Group, RockIT Women, Vital Projects Ohio LLC, and the Women in Technology Conference Louisville from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization. I hereby agree to send a current headshot of myself to aly@rockitwomen.com within the next week so it may be used for marketing purposes. I HAVE READ AND UNDERSTAND THE ABOVE PHOTO RELEASE. I AFFIRM THAT I AM AT LEAST 18 YEARS OF AGE.

Yes, I acknowledge and accept all of the above.