The ideal Leadership Rhode Island candidate exhibits:

• Passion for the people and the future of our state

• Personal commitment to shaping Rhode Island's future

• Commitment to community through past and present activities

• Demonstrated leadership within your organization and/or community

• Desire to engage, connect with, and learn from cross sector leaders with different perspectives

Nominator Information

Your Contact Information:

Salutation:

First Name:

Last Name:

Select Your LRI / CLRI Class Year:

Preferred Email:

Personal Email

Work Email

Preferred Phone:

Mobile Phone:

Work Phone:

Nominee Information

Nominee Contact Details

Salutation:

First Name:

Last Name:

Company/Organization:

Title:

Preferred Email:

Personal Email

Work Email

Preferred Phone:

Mobile Phone:

Work Phone:

Please tell us why you are nominating this individual:

Do you want to remain anonymous?