Legacy Power Nomination Form

Legacy Power Issue 2018

Nomination Form (Miami-Dade, Broward & Palm Beach)

If you are a professional or know a professional that's accomplishing great things professionally and civically, then you could be one of Legacy Magazine's 2018 "Most Powerful Black Business Leaders."

Please submit your nomination by April 2, 2018.

If you are interested in nominating someone as one of Legacy's "Most Powerful Black Business Leaders," please complete the form below.

You may nominate up to 3 individuals.

Enter your details here:

Your First Name: *

Your Last Name: *

Your Professional Title: *

Your Company/ Organization: *

Your Email Address: *

Your Phone Number *

______________________________________________________________________________

Please enter information about the person you are nominating below:

First Name *

Last Name *

Professional Credentials: (Ex: PhD, Dr. MBA)

Professional/Job Title: (ie. CEO, CFO, COO) *

Company Name: *

Email Address: *

Phone Number *

I am nominating this person to be honored in: *

Are they an active member of any organizations (i.e., fraternity, sorority, professional organization, etc..)? Please list them.

Please tell us why this person should be honored in Legacy Magazine. Make sure to highlight the person's professional achievements and civic engagement. (250 words or less)

______________________________________________________________________________

First Name:

Last Name:

Title (Ex: PhD, Dr. MBA):

Professional/Job Title: (CEO, CFO, COO)

Company Name:

Email Address:

Phone Number:

I am nominating this person to be honored in:

Are they an active member of any organizations (i.e., fraternity, sorority, professional organization, etc..)? Please list them.

Please tell us why this person should be honored in Legacy Magazine. Make sure to highlight the person's professional achievements and civic engagement. (250 words or less)

______________________________________________________________________________

First Name:

Last Name:

Title (Ex: PhD, Dr. MBA):

Professional/Job Title:

Company Name:

Email Address:

Phone Number:

I am nominating this person to be honored in:

Are they an active member of any organizations (i.e., fraternity, sorority, professional organization, etc..)? Please list them.

Please tell us why this person should be honored in Legacy Magazine. Make sure to highlight the person's professional achievements and civic engagement. (250 words or less)

For more information, please contact Shannel Escoffery at shannel@miamediagrp.com