YWCA MDI Woman Of The Year Nomination Form
To be awarded in recognition of contributions of women and girls in our community. Nominees can live on MDI or do work that impacts the lives of women and girls (or those that live) here on MDI.
Which category are you nominating this woman in? *
Required
Name of Nominee *
Your answer
Mailing Address (if you know it)
Your answer
Phone number and/or email address of nominee *
Your answer
How long have you known the nominee? *
Your answer
Please describe your relationship to nominee (friend, neighbor, coworker, relative, etc.) *
Your answer
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 answer
Your Name (Optional)
Your answer
Your Mailing Address (Optional)
Your answer
Your phone number and/or email address (Optional but mainly so we can tell you if your nominee won!)
Your answer
Optional: Would you like to keep your nomination anonymous?
Authorization *
Required
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