Conscious Leader Award Nomination Form
Submit your nominee for the 2nd annual Conscious Leader Award. This person walks the Conscious Leadership walk by exemplifying:

✷ Authenticity
✷ Vulnerability
✷ Psychological Safety
✷ Awareness
✷ Empathy
✷ Accountability

Nominations will be reviewed by our C3 Conscious Leadership Award Committee and the winner of the Conscious Leader Award will be announced at ConCon, our upcoming conference taking place virtually on Wed, November 16, 2022, 1:00 PM – 4:00 PM EST. Registration is free. https://bit.ly/ConCon_2022
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Your Name *
Your Email Address *
Your Nominee's First and Last Name *
Your Nominee's Company and Title *
Your Nominee's Email Address or Website Address *
What have you learned from their example? *
Please use the field below to tell us how your nominee has applied conscious leadership in the following ways: ✷Encourages and empowers others into action ✷Actively engages their team to reach their goals ✷Inspires people to be the best versions of themselves and do good for each other ✷Supports others (When you win, we win!) ✷Advocates for people and the planet to be prioritized along with profit ✷Fosters a community of leaders instead of an individualistic mindset
Please estimate in quantifiable terms the impact that your nominee has made by being a conscious leader: (e.g. size of population served, funds raised toward environmental or social efforts, carbon footprint deductions, metrics such as retention, executive: front line pay ratios, diversity in leadership, etc.) *
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