Honoring those who are breaking barriers and who are committed to making a lasting impact. Whether you’re an advocate for inclusion and diversity, a champion of charitable causes, or someone driving positive change in the world, this award honors your passion, dedication, and influence in creating a better future for all.

First Name

Last Name

Email *

Phone *

Business Name:

Business Website & Social Media Handles

What inspires you to break barriers and create meaningful change in your industry or community?

Tell us about a project or initiative where you’ve championed diversity, inclusion, or social responsibility.

How do you inspire others to join your cause and make a difference?

What lasting legacy or ripple effect do you hope to create through your work as a change maker?

I agree to the Terms and Conditions for Awards Entrants and I agree that my details will not be passed to any third parties, but may be used to contact you for further information, in the future.