UKCW 2025 - Role Model Entry

Complete the form to nominate yourself or a colleague to be a UKCW Role Model in the categories of Rising Star, Pioneer or Icon. For more information on the categories, please see our website.

Entry closes on 15th March, 2026.

* First Name

* Last Name

* Job Title

* Company

* E-mail

* Phone Number

* What category are you applying for?

Rising Star

Pioneer

Icon

* Are you nominating someone else?

YES

NO

Please fill in the nominees details below:

* Name

* Company

* Job Title

* E-mail

* Please submit the LinkedIn profile URL of the person being nominated

* Please explain why you or your nomination should be selected to be a UKCW Role Model (max 300 words)

* Please upload headshot

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