Green Room 2026 - Nomination Form

Green Room 2026 - Nomination Form
Please complete the following information to nominate someone you think would be a good fit for the program. For your convenience, here is a link to the Green Room: Board Leadership page as a reminder of the purpose of this training.

Please email us if you have any questions during the nomination process. Thank you!
Nominator Contact Information

Please put your information below so we know who is submitting this nomination.
Nominator First NameNominator Last Name
Nominator Email *
example@example.com
Nominator Organization & Role/Title*
How did you hear about Green Room? *
Contact Information for the Nominee

Please share the information of the individual you are nominating for the 2026 Green Room program.
Nominee First NameNominee Last Name
Nominee Email*
example@example.com
Nominee Organization & Role/Title
Nominee LinkedIn Profile (if applicable)
Nominee Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Why do you think this individual would be a good fit for Green Room? *
Where is this nominee located? *
If you selected "other", please specify:
I would prefer to remain anonymous.You may disclose that I nominated this person when reaching out.
Should be Empty:

Nominator Contact Information