2025 ATHENA Organizational Award Application

Full Name *

Home Address *

Address *	City *	State/Province *	Zip/Postal Code *
				Del

Add row

Contact Information *

Phone Number *	Email *
		Del

Add row

Company Name *

Title/Position *

Business Address *

Address *	City *	State/Province *	Zip/Postal Code *
				Del

Add row

Business Contact Information *

Work Phone Number *	Business Email *
		Del

Add row

Name

Company/Organization Name

Business Address

Address	City	State/Province	Zip/Postal Code
				Del

Add row

Contact Information

Phone Number	Email
		Del

Add row

I. PROFESSIONAL LEADERSHIP *

Provide specific examples of how the applicant has demonstrated excellence, creativity and initiative in their business or profession.


Contribution and Organizational Impact

Position: CEO,  XYZ Company                                                   Dates Held:  00/00/00-00/00/00

Led a cross-functional team to restructure the organization based on business processes versus functional design; streamlined the organization to save expenses.  Reduced organizational expenses by 30%.

Position: President, XYZ Company                                            Dates Held:  00/00/00-00/00/00

Near completion is a capital campaign that is infusing XYZ Company with in excess of $xx million to finance ongoing expansion of the company.  As an example, the Trustees of the ABC Foundation recently awarded XYZ Company with an $000K grant for the renovation and expansion of out facilities.

Position: President, Dept., XYZ Company                                 Dates Held:  00/00/00-00/00/00

To sharpen the focus on sales at XYZ Company, she assembled an internal team made up of several disciplines and levels within the company to look at entire sales organizations (one third of total staff), to make recommendations on improvements and to identify barriers to productivity.  The organization was re-engineered and reallocated.  Specifically, new job descriptions were prepared for every level of the sales organization.  Ms. Sample launched a direct sales call, on a two week basis.  The sales reps defined their own call schedule and now spend nine or ten days calling on their clients which has led to increased accountability for the staff.

Position: Vice President, Dept., XYZ Company                         Dates Held:  00/00/00-00/00/00

For the last 10 years, Ms. Sample has earned a rating of 90% or better in the area of employee satisfaction, which is significantly more than the industry norm of 70%.  She won special recognition for achieving the highest employee satisfaction measurement in her peer group for the past two years, achieving 100% for 19xx and 19xx.

Position: Vice President, Dept., XYZ Company                         Dates Held:  00/00/00-00/00/00

Creation of innovative programs for individual clients.  Between 88-90% of individuals come to XYZ Company as a result of word-of-mouth referral.

Position: Vice President, Dept., XYZ Company                         Dates Held:  00/00/00-00/00/00

Improved the presentation, graphics, packaging, entertainment value, and product mix in order to respond to market research.  Focus group research, particularly among Gen-Xers, revealed different attitudes and interest existed and required marketing changes to build participation.  Research also showed the “graying” of the particular consumer.  Specific strategies were executed to enhance the relevance of XYZ Company to this important demographic group including new themes, refreshed product features, more diversified talent involved in marketing seen as “more like me” and more immediate reinforcement.  This has contributed to a xx% growth.

Position: Vice President, Dept., XYZ Company                         Dates Held:  00/00/00-00/00/00

Defined the business and marketing strategy for the United States, which leads the decisions on marketing goals, coverage compensation, training, and customer communication.  XYZ Company maintained market share in the copier market, while growing systems and services to 70% of our business portfolio, contributing to overall profitability.  19xx was the best profit year in the history of the company.

Position: Vice President, Dept., XYZ Company                         Dates Held:  00/00/00-00/00/00

The _____ _________ Program, created by Ms. Sample articulated the spirit of the community and caring that is synonymous with XYZ Company.  Since the program’s inception, individuals have donated over 29,000 hours of community service to schools and organizations in the Rochester community.

Position: Vice President, Dept., XYZ Company                         Dates Held:  00/00/00-00/00/00

AS Vice President, Ms. Sample provides leadership to the administration of $18 million of workforce investment funds.  In addition, Ms. Sample serves on the xxx committees of xxx and has led the development of a new welfare-to-work pilot program in the hospitality industry. 

II. COMMUNITY SERVICE: *

List local, state, national and international level participation. Include length of service and offices held in civic and service organizations such as charitable activities, political pursuits, religious groups, chambers of commerce, merchants’ associations, etc.


Leadership roles in community organizations or service of benefit to the organization

Position/Organization:  Renaissance 2010                                                                         Dates Held:  00/00/00

Ms. Sample was appointed by Mayor William Johnson to be part of the Renaissance 2010 Development Team. Her ability to motivate others, her unique vision, and her reputation as a “Quick change agent” were all qualities that led to her selection.

Position/Organization:  Humane Society of Rochester                                                     Dates Held:  00/00/00

Ms. Sample is a member of the Humane Society Board of Directors and Executive Committee Member.

Position/Organization:  Foundation for Multicultural Teaching, Financial Supporter    Dates Held:  00/00/00

Brought community leaders from the private and public sectors to help Hispanic youth.

Position/Organization:  Graduate, Board Member/Leadership Rochester                      Dates Held:  00/00/00

Selected as a member of the first class of Leadership Rochester, one of 400 leadership programs in the country.  It exists to train and educate existing and emerging leaders to encourage involvement in effecting positive change. As a board member, I designed, developed, and printed the first newsletter and yearbook.  Encouraged other members of the Rochester community and government to participate in this year-long program.  Secured continued funding for the program from Monroe County and other entities. 

III. PERSONAL LEADERSHIP: *

Provide specific examples of how the applicant has assisted women in reaching their full leadership potential, and/or demonstrated support for their professional advancement.


Contributions to the professional growth, development, and advancement of women

Position/Organization/Activity:  President, Board Chair                         Dates: 00/00/00

Co-founded a Rochester based business exchange peer group, made up of local CEO’s, and executive directors of community based organizations.  Besides sharing best practices, it was designed to influence political awareness and fundraising support for all parties among the women business leaders in the community.  Guest speakers included representatives from the Federal Reserve and the Kiplinger organization.

Position/Organization/Activity:  Vice President, XYZ Company            Dates: 00/00/00

Ms. Sample mentors many women both inside and outside of XYZ Company.  She has created a mentoring database that enables mentors and participants to connect.  She has spoken to organizations in Rochester about diversity.  Ms. Sample was teamed with Mr.Blank of ABC Company to communicate the value of diversity, resulting in a well organized effective leadership group within ABC Company.  Ms. Sample coordinated the women’s groups across Rochester corporations for a number of networking events, such as benchmarking, informal dinners, and the 100 Women/100 Works women’s art events.  Participating organizations include groups from Eastman Kodak, Bausch & Lomb, Wegmans, Frontier, EDS as well as public sector groups.

Position/Organization/Activity:  President, XYZ Company                  Dates: 00/00/00

As a female business and community leader, Ms. Sample is often asked to provide insight into women’s career issues and to present to women’s groups about the local economy.   She has also participated as a panelist to discuss topics that affect professional women.

ADDITIONAL INFORMATION PERTAINING TO CRITERIA:

Include any additional information you feel is important for the consideration of your nominee. List awards, honors received publications, or articles supporting service to their profession, industry, or community.


Professional/business achievements, honors, awards, and recognition – Description and Scope

Achievement/recognition:  Woman of Valor                                             Date: 00/00/00

Ms. Sample was named a Woman of Valor by the American Diabetes Association.  The award is given to women who demonstrate leadership and achievement and whose volunteer actions have a positive impact on the Rochester community.

Achievement/recognition:  Invited to speak at educational events       Date: 00/00/00

In her role as vice president of XYZ Company and community leader, Ms. Sample is often invited to speak at educational events such as keynote speaker at Robert Wesleyan College’s MBA Commencement, career days at local school districts, and the Monroe County School-Business Education Partnership.

Achievement/recognition:  Chancellor’s Award                                      Date: 00/00/00

Recognized as an outstanding alumnus of the State University of New York.

Achievement/recognition:  XYZ College Alumni Hall of Fame              Date: 00/00/00

Award and recognition from the Monroe Community College Foundation for “Exemplifying MCC’s goals of leadership and innovation

Supporting Documents

(letters of reference, resume, public recognitions, etc..)  - Optional

20MB max

Supporting Documents

(letters of reference, resume, public recognitions, etc..)  - Optional

20MB max

Supporting Documents

(letters of reference, resume, public recognitions, etc..)  - Optional

20MB max

Supporting Documents

(letters of reference, resume, public recognitions, etc..)  - Optional

20MB max