2020/21 World Technology Awards Public Nomination Form

Nominations are now open

There is a small initial processing fee to submit your nomination. (Once you're accepted into the network, there are no fees to nominate further innovations for yourself or your peers and connect with the other WTN Fellows.)

2020/21 Nomination Submission Fees

Individual Nominations $195
Organization Nominations (Non-Profit, Government, Academic Inst. & Startup < 2 y.o.) $195
Corporate Nominations $295

1 Start 2 Payment 3 Complete

Nomination Type

Are you nominating an individual (or co-equal team), a corporation, or an organization (non-profit, government, academic inst.)? *

Nominee Information

Title

First Name *

Last Name *

Co-Equal Team members (if more than one individual is being nominated)

Award Category *

Award Category (Org) *

Detailed Summary of Your/Nominee's Innovation *

Website best illustrating your/nominee’s innovation (if available)

Is the nominee the primary contact? *

If the nominee is the primary contact, select YES. If nominee is appointing a representative to be the primary contact, select NO

Email *

Type

Primary Contact (PC) Information

First Name (PC)

Last Name (PC)

Job Title (PC)

Company/Organization (PC)

Phone Number (PC)

Type

Street Address (PC)

City (PC)

State (PC)

Postal Code (PC)

Country

Nominee Contact Information

Job Title

Company/Organization Name

Phone Number

Type

Street Address

Street Address Line 2

City

State/Province

Postal Code

Country

Nomination Tracking Code

Additional Information

*Best Video*

Is there a particular video presentation that you have given that you are most proud of or that best expresses your work or point of view? Enter the website address here...

How could the World Technology Network (WTN) be the most helpful in advancing your work particularly as regards promoting your work to the public, press, or potential partners OR as regards introducing you to those who have been elected.

After clicking submit you will be directed to our secure page to submit your nomination processing fee.

2020/21 World Technology Awards Public Nomination Form

Nominations are now open

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