Please complete this nomination survey by 11:59 PM ET November 3, 2023.
To be eligible for inclusion on the 2024 CNBC Changemakers List, women must be in a leadership role at a company or organization that meets the following minimum qualifications:
For private companies and organizations (including non-profits): at least $25 million in revenue in at least one of the past 3 years OR an enterprise value of at least $100 million.
For public companies: market capitalization of at least $250 million The final list will be selected using a data-driven approach that analyzes the impact and significance of each nominee's contribution to their industry or sector between November 1, 2022 and November 1, 2023. Responses are for scoring purposes only.
No information provided in this nomination form will be published without CNBC following up with the nominee for verification and permission. Please answer all of the questions in this survey as completely and honestly as possible. This will give the nominee her best possible chance of being named to the list.