The Conference for Women 2026 Nominations

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

NOMINATIONS CLOSE AUGUST 28

Thank you for taking the time to nominate an extraordinary leader in our community! You are welcome to nominate more than one individual! However, please submit a separate form for each nominee.

If you have any questions about the awards, visit www.WomenBeExtraordinary.com or contact Abeer Allen at 717-514-4449 or Abeer@EyeCandyFamily.com.

Tickets, sponsorships, and vendor opportunities are now available including early bird vendor pricing through August 21st! Visit www.WomenBeExtraordinary.com to learn more and get involved.

Email *

Nominee Name *

Nominee Title & Company Name *

Nominee Phone Number (Please ensure this is a valid phone number for the nominee) *

Nominee Email (Please ensure this is an accurate email for the nominee) *

Nominee Address (Street, City, State, Zip) *

Select the category you believe the nominee deserves most. *

Goodwill Ambassador (The recipient of this award is a woman who is focused on community outreach, business and personal philanthropy efforts, who demonstrates leadership characteristics in our community with proven results)

Leadership in Diversity (The recipient of this award is a business leader who excels in the pursuit of cultural diversity and inclusion in the community or workplace. She contributes to and enhances the environment through a sustained commitment to improve opportunities for Central PA. She is a leader who is dedicated to raising issues of diversity and inclusion and protecting civil and human rights)

Care to Share Award (The recipient of this award is a woman who shares her expertise to help others develop and grow. She creates a lasting and beneficial impact on business owners, leaders, and rising stars.)

Lifetime Achievement Award (The recipient of this award is a woman who builds long-term business success, with strong community involvement and is adaptable in the changing business environment. She is innovative in her business strategy and recognized as a business leader.)

(For Men) Agate Award (Agate is the stone of strength & courage. This award is presented to the man who has demonstrated exceptional effort that have helped advance women in business. He is a champion for gender equality with a track record of investing in and supporting women in our community)

Business of the Year (This award recognizes a business who demonstrates a positive company culture, employee development, and job growth. They focus on using their business to grow their community via sponsorship, volunteerism, and community involvement. They are a leader in their industry who contributes to economic growth and providing value for residents living and working in Central PA.)

Why do you believe the nominee is deserving of the award selected? *

Nominator Name (Your Name) *

Nominator Phone Number *

Nominator Email Address *

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms