Loading... if you see this message for more than 10 seconds, your browser may not be supported.

2018 CTO AWARDS NOMINATION FORM

The Los Angeles Business Journal will honor Chief Technology Officers and those who are in the top information technology positions within their organizations.These important individuals and teams play vital roles in making Los Angeles businesses, institutions and nonprofit groups successful. If you would like to submit a nominee for more than one category, please submit a separate nomination form. Please take care when filling out the information to ensure accuracy as it may be published in our journal.
This field is required
The server returned a validation error.
Please use letters only (a-z) in this field.
Please use only letters (a-z) or numbers (0-9) only in this field. No spaces or other characters are allowed.
Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid email address. For example email@domain.com
You have exceeded the maximum character limit.
You have entered less than the minimum word requirement.
You have exceeded the maximum word limit.
Please enter a valid number in this field.
Please enter a valid postal code in this field.
This field is required
The server returned a validation error.
Please use letters only (a-z) in this field.
Please use only letters (a-z) or numbers (0-9) only in this field. No spaces or other characters are allowed.
Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid email address. For example email@domain.com
You have exceeded the maximum character limit.
You have entered less than the minimum word requirement.
You have exceeded the maximum word limit.
Please enter a valid number in this field.
Please enter a valid postal code in this field.
This field is required
The server returned a validation error.
Please use letters only (a-z) in this field.
Please use only letters (a-z) or numbers (0-9) only in this field. No spaces or other characters are allowed.
Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid email address. For example email@domain.com
You have exceeded the maximum character limit.
You have entered less than the minimum word requirement.
You have exceeded the maximum word limit.
Please enter a valid number in this field.
Please enter a valid postal code in this field.
This field is required
The server returned a validation error.
Please use letters only (a-z) in this field.
Please use only letters (a-z) or numbers (0-9) only in this field. No spaces or other characters are allowed.
Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid email address. For example email@domain.com
You have exceeded the maximum character limit.
You have entered less than the minimum word requirement.
You have exceeded the maximum word limit.
Please enter a valid number in this field.
Please enter a valid postal code in this field.
This field is required
The server returned a validation error.
Please use letters only (a-z) in this field.
Please use only letters (a-z) or numbers (0-9) only in this field. No spaces or other characters are allowed.
Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid email address. For example email@domain.com
You have exceeded the maximum character limit.
You have entered less than the minimum word requirement.
You have exceeded the maximum word limit.
Please enter a valid number in this field.
Please enter a valid postal code in this field.

WHO ARE YOU NOMINATING?

This field is required
The server returned a validation error.
Please use letters only (a-z) in this field.
Please use only letters (a-z) or numbers (0-9) only in this field. No spaces or other characters are allowed.
Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid email address. For example email@domain.com
You have exceeded the maximum character limit.
You have entered less than the minimum word requirement.
You have exceeded the maximum word limit.
Please enter a valid number in this field.
Please enter a valid postal code in this field.
This field is required
The server returned a validation error.
Please use letters only (a-z) in this field.
Please use only letters (a-z) or numbers (0-9) only in this field. No spaces or other characters are allowed.
Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid email address. For example email@domain.com
You have exceeded the maximum character limit.
You have entered less than the minimum word requirement.
You have exceeded the maximum word limit.
Please enter a valid number in this field.
Please enter a valid postal code in this field.
This field is required
The server returned a validation error.
Please use letters only (a-z) in this field.
Please use only letters (a-z) or numbers (0-9) only in this field. No spaces or other characters are allowed.
Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid email address. For example email@domain.com
You have exceeded the maximum character limit.
You have entered less than the minimum word requirement.
You have exceeded the maximum word limit.
Please enter a valid number in this field.
Please enter a valid postal code in this field.
This field is required
The server returned a validation error.
Please use letters only (a-z) in this field.
Please use only letters (a-z) or numbers (0-9) only in this field. No spaces or other characters are allowed.
Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid email address. For example email@domain.com
You have exceeded the maximum character limit.
You have entered less than the minimum word requirement.
You have exceeded the maximum word limit.
Please enter a valid number in this field.
Please enter a valid postal code in this field.
This field is required
The server returned a validation error.
Please use letters only (a-z) in this field.
Please use only letters (a-z) or numbers (0-9) only in this field. No spaces or other characters are allowed.
Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid email address. For example email@domain.com
You have exceeded the maximum character limit.
You have entered less than the minimum word requirement.
You have exceeded the maximum word limit.
Please enter a valid number in this field.
Please enter a valid postal code in this field.
This field is required
The server returned a validation error.
Please use letters only (a-z) in this field.
Please use only letters (a-z) or numbers (0-9) only in this field. No spaces or other characters are allowed.
Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid email address. For example email@domain.com
You have exceeded the maximum character limit.
You have entered less than the minimum word requirement.
You have exceeded the maximum word limit.
Please enter a valid number in this field.
Please enter a valid postal code in this field.
This field is required
The server returned a validation error.
Please use letters only (a-z) in this field.
Please use only letters (a-z) or numbers (0-9) only in this field. No spaces or other characters are allowed.
Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid email address. For example email@domain.com
You have exceeded the maximum character limit.
You have entered less than the minimum word requirement.
You have exceeded the maximum word limit.
Please enter a valid number in this field.
Please enter a valid postal code in this field.
This field is required
The server returned a validation error.
Please use letters only (a-z) in this field.
Please use only letters (a-z) or numbers (0-9) only in this field. No spaces or other characters are allowed.
Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid email address. For example email@domain.com
You have exceeded the maximum character limit.
You have entered less than the minimum word requirement.
You have exceeded the maximum word limit.
Please enter a valid number in this field.
Please enter a valid postal code in this field.
This field is required
The server returned a validation error.
Please use letters only (a-z) in this field.
Please use only letters (a-z) or numbers (0-9) only in this field. No spaces or other characters are allowed.
Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid email address. For example email@domain.com
You have exceeded the maximum character limit.
You have entered less than the minimum word requirement.
You have exceeded the maximum word limit.
Please enter a valid number in this field.
Please enter a valid postal code in this field.
This field is required
The server returned a validation error.
Please use letters only (a-z) in this field.
Please use only letters (a-z) or numbers (0-9) only in this field. No spaces or other characters are allowed.
Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid email address. For example email@domain.com
You have exceeded the maximum character limit.
You have entered less than the minimum word requirement.
You have exceeded the maximum word limit.
Please enter a valid number in this field.
Please enter a valid postal code in this field.
This field is required
The server returned a validation error.
Please use letters only (a-z) in this field.
Please use only letters (a-z) or numbers (0-9) only in this field. No spaces or other characters are allowed.
Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid email address. For example email@domain.com
You have exceeded the maximum character limit.
You have entered less than the minimum word requirement.
You have exceeded the maximum word limit.
Please enter a valid number in this field.
Please enter a valid postal code in this field.
This field is required
The server returned a validation error.
Please use letters only (a-z) in this field.
Please use only letters (a-z) or numbers (0-9) only in this field. No spaces or other characters are allowed.
Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid email address. For example email@domain.com
You have exceeded the maximum character limit.
You have entered less than the minimum word requirement.
You have exceeded the maximum word limit.
Please enter a valid number in this field.
Please enter a valid postal code in this field.

COMPANY INFORMATION

This field is required
The server returned a validation error.
Please use letters only (a-z) in this field.
Please use only letters (a-z) or numbers (0-9) only in this field. No spaces or other characters are allowed.
Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid email address. For example email@domain.com
You have exceeded the maximum character limit.
You have entered less than the minimum word requirement.
You have exceeded the maximum word limit.
Please enter a valid number in this field.
Please enter a valid postal code in this field.
This field is required
The server returned a validation error.
Please use letters only (a-z) in this field.
Please use only letters (a-z) or numbers (0-9) only in this field. No spaces or other characters are allowed.
Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid email address. For example email@domain.com
You have exceeded the maximum character limit.
You have entered less than the minimum word requirement.
You have exceeded the maximum word limit.
Please enter a valid number in this field.
Please enter a valid postal code in this field.
This field is required
The server returned a validation error.
Please use letters only (a-z) in this field.
Please use only letters (a-z) or numbers (0-9) only in this field. No spaces or other characters are allowed.
Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid email address. For example email@domain.com
You have exceeded the maximum character limit.
You have entered less than the minimum word requirement.
You have exceeded the maximum word limit.
Please enter a valid number in this field.
Please enter a valid postal code in this field.
This field is required
The server returned a validation error.
Please use letters only (a-z) in this field.
Please use only letters (a-z) or numbers (0-9) only in this field. No spaces or other characters are allowed.
Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid email address. For example email@domain.com
You have exceeded the maximum character limit.
You have entered less than the minimum word requirement.
You have exceeded the maximum word limit.
Please enter a valid number in this field.
Please enter a valid postal code in this field.
This field is required
The server returned a validation error.
Please use letters only (a-z) in this field.
Please use only letters (a-z) or numbers (0-9) only in this field. No spaces or other characters are allowed.
Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid email address. For example email@domain.com
You have exceeded the maximum character limit.
You have entered less than the minimum word requirement.
You have exceeded the maximum word limit.
Please enter a valid number in this field.
Please enter a valid postal code in this field.
This field is required
The server returned a validation error.
Please use letters only (a-z) in this field.
Please use only letters (a-z) or numbers (0-9) only in this field. No spaces or other characters are allowed.
Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid email address. For example email@domain.com
You have exceeded the maximum character limit.
You have entered less than the minimum word requirement.
You have exceeded the maximum word limit.
Please enter a valid number in this field.
Please enter a valid postal code in this field.
This field is required
The server returned a validation error.
Please use letters only (a-z) in this field.
Please use only letters (a-z) or numbers (0-9) only in this field. No spaces or other characters are allowed.
Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid email address. For example email@domain.com
You have exceeded the maximum character limit.
You have entered less than the minimum word requirement.
You have exceeded the maximum word limit.
Please enter a valid number in this field.
Please enter a valid postal code in this field.
This field is required
The server returned a validation error.
Please use letters only (a-z) in this field.
Please use only letters (a-z) or numbers (0-9) only in this field. No spaces or other characters are allowed.
Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid email address. For example email@domain.com
You have exceeded the maximum character limit.
You have entered less than the minimum word requirement.
You have exceeded the maximum word limit.
Please enter a valid number in this field.
Please enter a valid postal code in this field.
This field is required
The server returned a validation error.
Please use letters only (a-z) in this field.
Please use only letters (a-z) or numbers (0-9) only in this field. No spaces or other characters are allowed.
Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid email address. For example email@domain.com
You have exceeded the maximum character limit.
You have entered less than the minimum word requirement.
You have exceeded the maximum word limit.
Please enter a valid number in this field.
Please enter a valid postal code in this field.
This field is required
The server returned a validation error.
Please use letters only (a-z) in this field.
Please use only letters (a-z) or numbers (0-9) only in this field. No spaces or other characters are allowed.
Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid email address. For example email@domain.com
You have exceeded the maximum character limit.
You have entered less than the minimum word requirement.
You have exceeded the maximum word limit.
Please enter a valid number in this field.
Please enter a valid postal code in this field.

AWARD CATEGORIES

This field is required
The server returned a validation error.
Please use letters only (a-z) in this field.
Please use only letters (a-z) or numbers (0-9) only in this field. No spaces or other characters are allowed.
Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid email address. For example email@domain.com
You have exceeded the maximum character limit.
You have entered less than the minimum word requirement.
You have exceeded the maximum word limit.
Please enter a valid number in this field.
Please enter a valid postal code in this field.

ABOUT THE NOMINEE

required
This field is required
The server returned a validation error.
Please use letters only (a-z) in this field.
Please use only letters (a-z) or numbers (0-9) only in this field. No spaces or other characters are allowed.
Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid email address. For example email@domain.com
You have exceeded the maximum character limit.
You have entered less than the minimum word requirement.
You have exceeded the maximum word limit.
Please enter a valid number in this field.
Please enter a valid postal code in this field.
required
This field is required
The server returned a validation error.
Please use letters only (a-z) in this field.
Please use only letters (a-z) or numbers (0-9) only in this field. No spaces or other characters are allowed.
Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid email address. For example email@domain.com
You have exceeded the maximum character limit.
You have entered less than the minimum word requirement.
You have exceeded the maximum word limit.
Please enter a valid number in this field.
Please enter a valid postal code in this field.

PROFESSIONAL/COMMUNITY REFERENCES (Optional)

This field is required
The server returned a validation error.
Please use letters only (a-z) in this field.
Please use only letters (a-z) or numbers (0-9) only in this field. No spaces or other characters are allowed.
Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid email address. For example email@domain.com
You have exceeded the maximum character limit.
You have entered less than the minimum word requirement.
You have exceeded the maximum word limit.
Please enter a valid number in this field.
Please enter a valid postal code in this field.
This field is required
The server returned a validation error.
Please use letters only (a-z) in this field.
Please use only letters (a-z) or numbers (0-9) only in this field. No spaces or other characters are allowed.
Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid email address. For example email@domain.com
You have exceeded the maximum character limit.
You have entered less than the minimum word requirement.
You have exceeded the maximum word limit.
Please enter a valid number in this field.
Please enter a valid postal code in this field.
This field is required
The server returned a validation error.
Please use letters only (a-z) in this field.
Please use only letters (a-z) or numbers (0-9) only in this field. No spaces or other characters are allowed.
Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid email address. For example email@domain.com
You have exceeded the maximum character limit.
You have entered less than the minimum word requirement.
You have exceeded the maximum word limit.
Please enter a valid number in this field.
Please enter a valid postal code in this field.
This field is required
The server returned a validation error.
Please use letters only (a-z) in this field.
Please use only letters (a-z) or numbers (0-9) only in this field. No spaces or other characters are allowed.
Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid email address. For example email@domain.com
You have exceeded the maximum character limit.
You have entered less than the minimum word requirement.
You have exceeded the maximum word limit.
Please enter a valid number in this field.
Please enter a valid postal code in this field.
This field is required
The server returned a validation error.
Please use letters only (a-z) in this field.
Please use only letters (a-z) or numbers (0-9) only in this field. No spaces or other characters are allowed.
Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid email address. For example email@domain.com
You have exceeded the maximum character limit.
You have entered less than the minimum word requirement.
You have exceeded the maximum word limit.
Please enter a valid number in this field.
Please enter a valid postal code in this field.
Please upload a LARGE, HIGH-RESOLUTION headshot for the nominee and a company logo

NOMINEE HEADSHOT & COMPANY LOGO

This field is required
The server returned a validation error.
Please use letters only (a-z) in this field.
Please use only letters (a-z) or numbers (0-9) only in this field. No spaces or other characters are allowed.
Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid email address. For example email@domain.com
You have exceeded the maximum character limit.
You have entered less than the minimum word requirement.
You have exceeded the maximum word limit.
Please enter a valid number in this field.
Please enter a valid postal code in this field.
This field is required
The server returned a validation error.
Please use letters only (a-z) in this field.
Please use only letters (a-z) or numbers (0-9) only in this field. No spaces or other characters are allowed.
Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid email address. For example email@domain.com
You have exceeded the maximum character limit.
You have entered less than the minimum word requirement.
You have exceeded the maximum word limit.
Please enter a valid number in this field.
Please enter a valid postal code in this field.