Nomination Form

Submissions are due June 21, 2019.
  • NOMINEE INFORMATION

    This is the information for the person you are nominating to receive the award.
  • YOUR INFORMATION

    This is your information in case we need to contact you regarding your nomination.
FEROLYN POWELL LEADERSHIP AWARD

The recipient of MedtechWomen’s Ferolyn Powell Leadership Award embodies persistence, passion, dedication to innovation and patients, and commitment to mentoring others and advancing diversity in our field. The award was established in 2015. Ferolyn Powell, a leader in the medical device industry and a mentor to young entrepreneurs, was recognized with the first award posthumously, which was also named in her honor. To submit a nomination for the 2019 MedtechWomen Ferolyn Powell Leadership Award, please fill out the form on this page. If you have any questions about the award, please contact Nicole Osmer at nicole@healthandcommerce.com.