Women of Influence Nomination Form

20th Annual Women of Influence Nomination Form

You may submit up to 6 nominees.

Your Name(Required)

Your Email(Required)

Your Phone Number(Required)

Your Address(Required)

Street Address Address Line 2 City State ZIP Code

Nominee Name(Required)

Nominee Corporate Title(Required)

Nominee Company Name(Required)

Nominee Email(Required)

Nominee Phone Number(Required)

Nominee Address(Required)

This is where we will send the issue featuring your nominee when they are selected as a Women of Influence.

Street Address Address Line 2 City State ZIP Code

The below contact information will only be used for The Shelby-Griffin Report staff to notify your nominee(s) (and their employer) of her nomination.

Nominee Supervisor's Name(Required)

Nominee Supervisor's Email(Required)

Nominee Supervisor's Phone Number(Required)

What region is your nominee's corporate headquarters located?(Required)

West (AZ, CA, ID, MT, MV, OR, UT, WA & WY)

Southwest (AR, CO, NM, OK & TX)

Southeast (AL, FL, GA, KY, LA, MS, NC, SC, TN, WV & VA)

Midwest (ND , SD, NE, KS, MO, IA, MN, WI, MI, IL, IN & OH)

Northeast (CT, DE, ME, MD, MA, NH, NJ, NY, PA, RI & VT)

What type of business is your nominee's employer?(Required)

Retailer

Wholesaler/Distributor

Supplier/Vendor/Solutions Provider/Sales & Marketing Agency

Association

Nominee Qualifications(Required)

Please provide a 1500 maximum character description (about 250 words) about why your nominee is qualified for this recognition. This could be related to her results-oriented job performance, exemplary leadership skills and civic and philanthropic work. Please note that if your nominee wins, this is the description that will run in the special editorial spotlight in the Women of Influence in the Food Industry feature in all five May 2025 regional editions.

Upload Professional Headshot(Required)

Please upload a high-resolution professional headshot (JPEG or PNG format, minimum 300×300 pixels).

Max. file size: 250 MB.

The Shelby-Griffin Report will highlight each honoree in a special editorial spotlight in the Women of Influence in the Food Industry feature in all five May 2025 regional editions. To see the 2024 Women of Influence honorees, click here.

If you have any questions please reach out to:
Stephanie Reid, President and Publisher
Phone: 678-520-4949
Email: [email protected]

CAPTCHA