Nomination Form Please submit
your nomination by September 17, 2003
Award
Category
Digital Diva
Nominated
By
Individual's name:
Title:
Company:
Address:
Phone:
Fax:
Nominee
Information
Nominee's Name:
Title:
Company:
ME Address:
City:
Zip:
Telephone:
Fax:
Email:
Notable
Accomplishments:
Please provide information on the individual's
accomplishments. Describe how this technologist beyond a specific innovation or achievement, contributes significantly to Maine as a cutting-edge technology community and is an overall "geek".
Please address each of the following points and limit response to 300 words for each bullet.
Describe the individual's role in advancement or utilization of a technology
Describe the impact this individual has had on others in Maine's technology community
Describe why this person revels in being called a Geek
Please state in 25 - 50 words why this individual should be the Digital Diva of the Year. This statement may be: used as the description for the finalists within this category, posted on the MESDA site, read at the Awards Celebration and submitted in press releases.
References
List contact information for individuals who may be listed as references in this nomination submission. These references may or may not be contacted by the Judges.
Name:
Title:
Company:
Phone:
Name:
Title:
Company:
Phone:
Name:
Title:
Company:
Phone:
DEADLINE FOR SUBMISSIONS IS WEDNESDAY, September 17, 2003.
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