* First Name * Last Name * Company * Job title * Email * Why should you be nominated for "The Fifty"? * Please upload your headshot Select Files File uploading Click 'Upload' button to change image/file. Upload Crop Image Width: Height: Lock proportions: Resize Image * Please upload your BIO Select Files File uploading Click 'Upload' button to change image/file. Upload Crop Image Width: Height: Lock proportions: Resize Image Submit