Outstanding Role Model Nomination Form

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Please answer the following questions to nominate an Outstanding Role Model for young girls who exemplifies confidence and leadership:

Nominee's First and Last Name *

Nominator's First and Last Name *

Nominator's cell phone *

Nominator's email address *

How does the nominee serve as a positive role model for young girls? (What values do they embody, and how do they demonstrate these values in their daily life?) *

In what ways does the nominee inspire confidence and self-esteem in young girls? (Provide examples of how they encourage girls to use their voice, advocate for themselves, or recognize their strengths.) *

Does the nominee participate in any programs, initiatives, or mentorship activities that support the confidence and leadership development of youth? (If yes, please describe.) *

Please share a recent accomplishment that you feel makes this nominee stand out. *

Why do you believe this person is the best candidate for this recognition? (Sum up their impact in a few sentences.) *

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