Request edit access
YWCA MDI Woman Of The Year Nomination Form
To be awarded in recognition of contributions of women and girls in our community.
Sign in to Google to save your progress. Learn more
Which category are you nominating this woman in? *
Required
Name of Nominee *
Mailing Address (if you know it)
Phone number and/or email address of nominee *
How long have you known the nominee? *
Please describe your relationship to nominee (friend, neighbor, coworker, relative, etc.) *
What quality or qualities has the nominee demonstrated making them worthy of this award? *
Required
Please give a description of the nominee's attributes and contributions, and tell us why you feel she qualifies for this award. Note: We appreciate that someone's day job could be helping people but nominees we are looking for should be 'above and beyond' that.
Your Name (Optional)
Your Mailing Address (Optional)
Your phone number and/or email address (Optional but mainly so we can tell you if your nominee won!)
Optional: Would you like to keep your nomination anonymous?
Authorization *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Breaking Even Communications. Report Abuse