Nominee's contact information

Name*

Title*

Organization*

Management level*

Functional area*

Email*

Phone number*

Tell us a little about the nominee

What makes the nominee a Maverick? What specific characteristics, qualities or behaviors make this person a Maverick in his/her job?*

How does the nominee work within their organization to further their ideas and goals? In other words, how do they rally support and build business cases for their ideas?*

What kind of business impact has the nominee had on their organization that can be attributed to their Maverick behavior? (Could include, for example, financial performance, deposit growth, market share gains and brand awareness, etc.)*

Your contact information

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Title*

Organization*

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Email*