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Nominate yourself to be featured within The Global Top 100 Innovators in Data & Analytics 2023 list. 

This nomination form will take approximately 10 minutes to complete. Please answer as fully as you can. Any questions about the nomination process please email: catherine.king@coriniumgroup.com
Basic Information - In this section please submit your details.

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is your current job title?

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* 4. What is the name of the organization/company you work for?

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* 5. What Industry do you work in?

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* 6. What is your work email address?

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* 7. Which region are you based?

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* 8. Please state the City & Country

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* 9. Please include a link to your LinkedIn profile:

Nomination Information - In this section please submit the details of why you are making the nomination.

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* 10. What have you achieved within the Data & Analytics community to deserve recognition and the reward of being placed in our Global Top 100 Innovators 2023 list? Please provide as much detail as you can. 

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* 11. Please could you give detailed examples of how you've been active within the Data & Analytics community? (This could be writing blogs, speaking at events, engaging in a mentorship program - in the next question you will be able to upload supporting documents).

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* 12. Please attach any relevant documents to support your nomination. For example, articles/reports where you have contributed.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
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* 13. Please upload a professional headshot that you'd like us to use if your nomination is successful. (Please ensure it is high quality and in color)

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
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* 14. Please give details (name & email) of one person we could reach out to if you're successful to interview about your achievements. (This could be a colleague or someone who has followed your D&A journey.)

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* 15. Please provide a professional bio that you'd like us to use if your nomination is successful.

Diversity & Inclusion - The sole purpose of this section is for equality and diversity assurance. You may skip this section if you wish.

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* 16. What age category are you?

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* 17. What best describes your gender:

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* 18. What is your sexual orientation:

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* 19. Please state your ethnicity (or skip to the next question):

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* 20. Please state your religion (if applicable, or skip to the next question):

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* 21. Do you consider yourself to have a disability (or skip to the next question)?

Community Information 

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* 22. If you're not already, would you like to subscribe to the Business of Data for exclusive reports, articles, video content, and more?

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* 23. Would you like to find out more about Data & Analytics events taking place in your region?

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