Request edit access
2018 Because of Her Award Nomination
The Lowell Women's Week Because of Her Award acknowledges women who reflect one or more of the following criteria:

· Perform exemplary deeds of service outside of their paid work, including a demonstrated commitment to service in their community;

· Help individuals or their community through one or more extraordinary acts, or otherwise conduct themselves admirably when faced with unusually challenging circumstances;

· Make efforts to combat long term, persistent problems that impact entire communities (for example those who have taken innovative steps to address hunger, homelessness, lack of access to health care, and other issues).

Nominations must be received by Tuesday, February 6,2018

Nominee's Information
Tell us who you're nominating!
Nominee's full name *
Your answer
Nominee's Address *
Your answer
Nominee's phone number *
Your answer
Nominee's email adress
Your answer
Your Information
Tell us who you are!
Your full name *
Your answer
Your address *
Your answer
Your phone number *
Your answer
Your email
Your answer
How do you know the nominee? *
Your answer
Tell us about another person who is familiar with the nominee's qualifications.
Reference's full name *
Your answer
Reference's phone number *
Your answer
Reference's email
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service