June 5 | The Hyatt Place Hotel, Novi, MI

Influencer of the Year nomination form

Criteria to apply for:

a. Needs to be an individual person who made an outstanding contribution to
the industry this year
Winners will be decided based on those criteria:

i. Pushing innovation forward
ii. Engaging with the whole industry
*All information provided here will only be seen by TU-Automotive Staff and judges.
This will not be released elsewhere.

*We can’t guaranty that the judges will check any external links or references so
please provide all essential information in the fields above

*You will be able to attach 2 supporting documents when submitting this form online.

Once this form is completed, please submit it here by Friday March 9th 2018:
https://tuautomotive.wufoo.eu/forms/z1rbcmm90o483da/

Question 1

Provide name, current job title and company name of the person nominated.

Enter Your Answer Here

Question 2

How has this person provided an outstanding contribution to the industry this year (Max 400 words)

Enter Your Answer Here

Question 3

Is this person a member of any association? If so, which ones?

Enter Your Answer Here

Question 4

Please provide any further information you feel the judges should know.
June 5 | The Hyatt Place Hotel, Novi, MI

Enter Your Answer Here

Once this form is completed, please submit it here by Friday March 9th 2018

https://tuautomotive.wufoo.eu/forms/z1rbcmm90o483da/