Online Nomination Form - 2027 Women of Achievement

2027 Women of Achievement Nomination Form

Please use this form to submit your nomination. Use between 600 and 1000 words (up to 6000 characters, including spaces) in your narrative. Fields cannot be left blank. Fields with an * are required. Please enter "NA” in fields for which you do not have information. Deadline: 12:00 a.m., Saturday, January 09, 2027. You must address the following questions or issues: 1. Discuss nominee’s volunteer service, not her professional career. 2. Discuss the length and breadth of volunteer service, including dates of service and leadership roles. A listing of committees and boards the nominee sits on is insufficient without details of her volunteer service on the board or committee. 3. What distinguishes her from other volunteers – has nominee gone above and beyond in the volunteer service? 4. Describe the impact her volunteer service has had on the community. a. How many lives did she touch? b. What difference did she make? 5. Is she a woman of vision? a. Did she see a gap and develop a program to fill that gap? b. How did she rally support for the cause? c. Does she motivate others to join her? d. Is she a catalyst for change? 6. In your opinion what makes your nominee special?

"*" indicates required fields

Nominee Information

Name of nominee*

Full address of nominee*

Do not use a business address.

Street Address Address Line 2 City State Zip Code

Nominee’s county of residence*

Nominee’s email*

Nominee’s phone number*

Nominator Information

Nominated by:*

Are you a Woman of Achievement?*

Yes

Class year

Full address of individual making this nomination*

Street Address Address Line 2 City State ZIP Code

Email of individual making this nomination*

Phone of individual making this nomination*

Has your nominee been paid or received a salary for any of the work for which you are nominating them?*

If yes, please describe in detail the payment or salary in the "About Your Nominee" section below.

Tell us about your nominee*

Use this section of this form to tell us about your nominee. Please be concise. There is a 6,000-character maximum length. You must address the following issues or questions to provide the Selection Committee with an understanding of your nominee. No additional information, including photos or scanned documents, will be accepted. Please answer or address the following:

1) Discuss nominee’s volunteer service, not her professional career.

2) Discuss the length and breadth of volunteer service, including dates of service and leadership roles. A listing of committees and boards the nominee sits on is insufficient without details of her volunteer service on the board or committee.

3) What distinguishes her from other volunteers – has nominee gone above and beyond in the volunteer service.

4) Describe the impact her volunteer service has had on the community.

a. How many lives did she touch?

b. What difference did she make?

5) Is she a woman of vision?

a. Did she see a gap and develop a program to fill that gap?

b. How did she rally support for the cause?

c. Does she motivate others to join her?

d. Is she a catalyst for change?

6) In your opinion what makes your nominee special?

How did you hear about us?*