Sara Kirke Award for Woman Entrepreneurship Nomination Form Complete and email Nomination Form to cmalette@cata.ca Submission must be received at the CATAWIT office by the entry deadline: Monday May 1, 2007 c/o Cathi Malette cmalette@cata.ca fax: (613) 236-8189 Please do not imbed electronic files within the Entry Form, but provide same as separate files. Official Nominee: Full Name: Title: Address: City: Prov: Postal: Telephone: Fax: Company / Organization name: Number of years in business: Type of business: Nominator: Contact: Telephone: Email: Title: Fax: Please submit no more than half page per category. Point form is acceptable. 1. INTRODUCTION Provide an introduction to the nominee and their company. Include information that describes the nominee’s company, products and services. Discuss their specific role, responsibilities and how long they have been in this or other positions. 2. TECHNICAL INNOVATION - 30% (10% for each of the 3 sections below) In this section, please describe what has made the nominee and their technological innovation successful including significant decisions and accomplishments relating to the growth of their company a) Technological Vision (their courage and passion to drive their technological vision forward.) 10% b) Market Recognition/ World Class Product & Service (how has their product or service been recognized in the market.) -10% c) Business Success and Financial Risk (Please provide financial results or business measures that would indicate success and viability) –10% -1- Sara Kirke Award for Woman Entrepreneurship Nomination Form 3. CORPORATE LEADERSHIP - 30% “If the your actions inspire others to dream more, learn more, do more and become more, you are a leader. John Quincy Adams” a) Influencing others effective leadership is important to the well being and viability of their company. Please tell us what makes the nominee a great leader. b) What leadership qualities does the nominee possess and in what ways do they demonstrate those qualities? c) Describe the nominee’s leadership behaviour in areas such as: motivating and inspiring others; maintaining the clarity of their own personal and professional standards; establishing their company as a leader in their industry; developing effective relationships with strategic business partners, customers, and staff. 4. NOTABLE ACHEIVMENTS IN THE NOMINEE’S PARTICULAR AREA OF EXPERTISE -20% a) List the nominee’s professional accreditations and comment on how they keep them current. b) What academic professional accomplishments does the nominee have to their credit? c) List any significant achievements or awards and the associated dates. 5. COMMUNITY INVOLVEMENT/ MENTORSHIP - 20% One of the values promoted in the CATA WIT Forum is giving back to the community and advancing women in technology. The contribution can be in many ways, through time, money, expertise or resources. a) List the nominee’s present and past involvement in community-based activities. b) How have they influenced others to participate in the betterment of the community? c) How have they been a mentor or role model for other women? d) What impact do they feel your contribution has on the betterment of the community? FINAL COMMENTS Should the nominee be this year’s recipient, as an ambassador of the Sara Kirke award, how would they promote, support and mentor women in technology? -2- Sara Kirke Award for Woman Entrepreneurship Nomination Form The Sara Kirke Award for Woman Entrepreneurship is presented to the woman who has shown the most outstanding technological innovation and corporate leadership -- leadership that has significantly expanded the frontiers of Canada's advanced technology industry. The Selection Committee of the Sara Kirke Award is made up of members of CATA's Women in Technology Forum National Advisory Board. The purpose of the Award is to celebrate innovation, entrepreneurship and create positive role models for women. CATA's WIT (Women in Technology) Forum is a new community network launched by CATA designed to boost women's participation and advancement in the high-growth technology sector. In judging the nominees for the award, the Selection Committee is looking for women leaders who demonstrated consistent innovation and leadership skills, resulting in the creation and international acceptance of significant world-class products and/or the establishment and development of a major advanced technology company or companies that have withstood the test of time. The selection is based on a written resume of the nominee’s accomplishments and the selection criteria include: Technological Innovation Corporate Leadership Notable Achievements in their Particular Area of Expertise Community Involvement/Mentorship Sara Kirke is considered by many to be North America's first entrepreneur. Sara Kirke arrived in Newfoundland in 1638 with her husband David Kirke, who was soon recalled to England. Sara, however, continued to reside in Avalon, and conducted business as usual from the Pool Plantation. Lady Kirke was a remarkable individual as she managed affairs at the Pool Plantation and became one of the most successful merchants on the English Shore -- and was almost certainly North America's first and foremost woman entrepreneur. -3-