2022 Outstanding Women of Clinton County Nomination Form
The Outstanding Women of Clinton County awards committee is seeking nominations of women who have made important, perhaps unique, economic, social, cultural, or humanitarian contributions to their communities.

Nominations for Outstanding Women of Clinton County must be received by Friday, February 1, 2022. No late entries will be considered.

To nominate a woman for this honor please complete the information below. It is strongly recommended that nominators consult with the nominee, her friends and her family members for the purpose of securing information that would be helpful in responding to the questions on the form. The selection committee depends on the detail and the quality of the information you provide to make its decision. Posthumous nominations are allowed and encouraged.

Recipients will be honored at an awards luncheon on April 9th, 2022, at the Roberts Centre.

Thank you for recognizing and honoring outstanding contributions of women in our community!
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Nominee's Name *
This is the only place in the application her name should be listed.
Nominee's Street Address *
Nominee's City, State, Zip *
Nominee's Home Phone *
Nominee's Employer (if applicable)
Please Check if Nominee is Deceased
Date of Birth (If deceased)
Date of Death (If deceased)
Your Name *
Your Street Address *
Your City, State, Zip *
Your Home Phone *
Your Cell Phone
Your Relationship to Nominee *
Please explain what community service, contributions, career or personal achievements for which this women is being nominated.
Please give as much detail as possible regarding your nominee's accomplshments and what makes her exceptional.
What impact has your nominee had on her community and the county? Who has benefited? Does your nominee have a lasting legacy?
No need to be modest here.
What is the time frame of your nominee's work or service?
How long has she been doing good?
Please list accomplishments and contributions your nominee has made outside of Clinton County.
Please list any applicable additional information that demonstrates the contributions and accomplishments of this individual.
Education, training, awards, etc.
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