2019 Emerging Leader Nomination Form: Women's Leadership Conference
Scholarship Nomination Application
THANK YOU FOR NOMINATING A WOMAN IN YOUR LIFE!

Complete this form to nominate a woman for an Emerging Leader Scholarship to the 2019 Women's Leadership Conference, held Nov. 1, 2019 at Verizon Center Grand Hall in Mankato, MN.

Paper versions of this form are available at YWCA Mankato (127 S. 2nd St., Suite 200, Mankato). Please contact Laura Stevens at laurastevens@ywcamankato.org, 507-345-4629 with any questions.
Deadline: Oct. 11, 2019
Please submit applications by Oct. 11, 2019!
Nominee Information
Nominee's First & Last Name: *
Your answer
Nominee's Email Address:
Your answer
Nominee's Phone Number: *
Your answer
Nominee's Mailing Address:
Your answer
Nominee's Age (if known):
Nominee's Race/Ethnicity (or put unknown): *
Your answer
Could the nominee afford to attend the Women's Leadership Conference without this scholarship? *
Nominee: Leader & Woman
Tell us a little about her. *
Your answer
Why do you think the nominee will benefit from attending the 2019 Women's Leadership Conference? *
Your answer
Describe the nominee as a leader: How does she lead? What are her strengths? What motivates her? *
Your answer
Are there obstacles in her life that the nominee overcame? How? *
Your answer
Is the nominee available to attend the Women's Leadership Conference on November 1, 2019? *
Has the nominee previously attended the YWCA Mankato Women's Leadership Conference? *
Your Information:
Please fill out this section with your information (not the name of the nominee).
Your First & Last Name: *
Your answer
Your Email Address: *
Your answer
Your Phone Number: *
Your answer
Your Mailing Address:
Your answer
Are you interested in serving as a Conference Mentor for your nominee or another Emerging Leader Scholarship recipient? *
THANK YOU FOR NOMINATING A WOMAN IN YOUR LIFE!

Scholarship decisions will be made within one week of application. The nominee will be contact directly and will be informed that you nominated her for this Scholarship Award.

If you have any questions, please feel free to reach out to Laura Stevens at laurastevens@ywcamankato.org or 507-345-4629.
Submit
Never submit passwords through Google Forms.
This form was created inside of YWCA Mankato. Report Abuse - Terms of Service