Jersey’s Best Nominaton Form

Nominee Information

Nominee First Name (required)

Nominee Last Name (required)

Nominee Company (required)

Nominee Title (required)

Nominee Email (required)

Nominee Phone Number (required)

Nominee Work Address (required)

Will the Nominee be under 40? (required)

Nominator Information

Nominator First Name (required)

Nominator Last Name (required)

Nominator Company (required)

Nominator Title (required)

Nominator Email (required)

Nominator Phone Number (required)

Relationship To Nominee (required)

Nominator's Address (required)



What special skills, abilities, insights make this nominee stand out?

How has the nominee been an exemplary leader? How have they shown creativity, motivated others, overcome challenges, promoted excellence and innovation, or bettered their environment.

How has the nominee inspired others, grown their business or helped others achieve their vision?

Has the nominee earned any other award for marketing or advertising in the past? i.e. Jersey Award

Please attach headshot of nominee if available. (The headshot will be used for the event program in April)

There is a $25 application fee that will be billed to you after you submit the nomination.


There is a $25 application fee that will be billed to you after you submit the nomination.