Heroines in Technology Friday, November 12, 2010 Hyatt Regency Reston Heroines in Technology honors women who work in or support the technology industry for their dedication to community service. The nominations deadline for the AFCEA International Government Heroine Category has been extended to September 15, 2010. Key Dates Nominations close: August 20, 2010 Finalists selected: September 2010 Video interviews conducted: September/October 2010 Winners announced: November 12, 2010 Nominations Criteria: • Women must work in or support the technology field and exemplify outstanding volunteer service above and beyond their professional responsibilities. • All nominees must live and work in Northern Virginia, Maryland or Washington, D.C. • Nominees must demonstrate achievement in spreading the mission and enhancing the success of the volunteer organizations with which they are involved. • All nominees will be contacted and told if they have been selected as a finalist or not. • If selected as a finalist, nominee must be available for the videotaped interview (three available dates in late September/early October). Video will be presented at the Awards Gala. • If selected as a finalist, nominee must be available to attend the Awards Gala on Friday, November 12, 2010. • Nominees must agree to allow their name and/or likeness to be used to advertise and promote the event. Heroines will be selected based upon their leadership, impact, innovation and inspiration with the organizations in which they are involved. Nominations are due by Friday, August 20, 2010. All items marked with an * must be completed.

Nominee's Information

First Name * Last Name* Address 1 * Address 2 City * State * -- AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VA WA DC WV WI WY Other Zip Code * - Email Address * Company* Title* Phone Number* Colleges Attended*

Nominated By*:   Self-Nominated        Nominated By (Your Name)     If you are nominating someone else, please provide your email address and telephone number. By completing these fields, you are affirming that the nominee is aware of this nomination and has approved of the information you are providing: Email Address:   Phone Number:   Nomination Category*: Rising Heroine: Nominee has exemplified volunteerism in the community and has made a significant impact during her career of less than 10 years. Individual Heroine: During her career, nominee has exemplified volunteerism in the community beyond participation within her company’s community outreach. NVTC Corporate Heroine: Nominee must be an Owner, CEO or President who leverages her position and company to actively encourage and support employees to volunteer in the community. AFCEA International Government Heroine: Nominee must be employed by the Federal, State or Local Government. She must exhibit extraordinary volunteerism and a passion for helping others in endeavors over and above the mandates of her government role.   Questions Please respond to each of the following five questions: 1. What are the three most significant contributions that the nominee has made through her volunteer work? (Maximum 250 words) * 2. How has the nominee demonstrated LEADERSHIP in contributing to the volunteer organization(s) with which she is involved? (Maximum 250 words) * 3. Please list any awards or recognition that the nominee has received related to her volunteerism. (Maximum 100 Words) * 4. Describe any INNOVATIVE approaches or show ways that the nominee has INSPIRED others to make a difference. (Maximum 250 words) 5. Is there additional information that you believe we should know about this nominee? (Maximum 100 Words) Please send one digital photographic headshot of the nominee to Kate Leib at kleib@marchofdimes.com. The photo will be used in the event program and other promotional vehicles.