This form is to be completed by the award applicant. If you have been able to advance the profession of independent consulting forward through game-changing creativity and innovation, we need to hear from you! I have read the FAQs for the Advancing Consulting AwardsFor information, please refer to Advancing Consulting Awards FAQs. Yes Name* First Last Email* Phone*Please answer the following questions in 500 words or less:Creativity & InnovationPlease provide an example of a consulting innovation or intellectual property you’ve applied to your business or client support that provided benefit to both your client and to your business. Your creativity and innovation could be completely new, or it could be a bold new take on an existing best practice. Please limit your responses to 500 words or less.How have your creativity and innovation Impacted clients?Give at least one specific example. Please limit your responses to 500 words or less.How have your creativity and innovation impacted your own business?Please limit your responses to 500 words or less.What might be the potential impact of your creativity and innovation on the Industry or society?Please describe how your creativity and innovation concept could impact an industry (e.g., disrupt the status quo in some way) or society in general. Please limit your responses to 500 words or less.Professional ResilienceHow have you persisted and grown your consulting business despite business-related obstacles, setbacks, and/or business cycles? Please limit your responses to 500 words or less.References Please provide 3 references total. We will let you know before we contact any reference. All information is strictly confidential, for awards committee use only. All references must be within the last 3 years. Reference 1 Client. This should be someone who can talk to how you have successfully applied your concept for creativity and innovation. Contact must be willing to speak with the Awards Committee about your nomination and your work together. Reference 1 Name* First Last Reference 1 Telephone*Reference 1 Email* Reference 2 A peer who knows you well.Reference 2 Name First Last Reference 2 TelephoneReference 2 Email Reference 3 A peer who knows you well OR a Mentor.Reference 3 Name First Last Reference 3 TelephoneReference 3 Email Supplemental Documents Please submit testimonials and other documentation supporting this application. This could include mentors and/or peers. All submissions related to this nomination are only viewed by the Awards Committee and are strictly confidential. FileFileFileFileConfirmation*I confirm the above is true and factual. Confirmed All information submitted will remain confidential.