2025 Women of Achievement Nomination Form Nominee InformationName of Nominee* Full Address of Nominee*Do not use a business address. Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Nominee's County of Residence Nominee's Email and Phone NumberNominator InformationNominated By:* Full Address of Individual Making this Nomination* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Email and 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.YesNoTell 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?
