2018 BioCT Entrepreneur of the Year Award – Nomination Form

Nominator's Name

Nominator's email address

Nominator's Phone Number

Nominator's Address

Name of Nominee

Nominee's Phone Number

Nominee's email address

What Descriptors would you use to highlight the accomplishments of your nominee? (10 words)

Addressing each of the criteria listed specifically, why do you recommend this individual for the award? (500 words)

Two other suggested referees to contact for additional support (email address and phone number)