Significant U's "She is" Campaign Nominations
Email address *
Your First Name, Last Name *
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Your Best Contact Number *
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First Name (Nominee) *
Your answer
Last Name (Nominee) *
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Birthday (Nominee) 00/00/0000 *
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Contact Number (Nominee) *
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Contact Email (Nominee) *
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Current Job Title and Responsibilities (Nominee) *
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Share an experience when your nominee has lead with dignity, strength, and confidence. *
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Share how your nominee acts in the character of a first lady where she is positioned. *
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Share a time when your nominee used her voice to positively impact the conversation. *
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What social media does your nominee have? *
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Will your nominee be willing and available to have her photo taken as part of the "She is" campaign? *
Provide a three to six word phrase you suggest for your nominee. Example, "She is" a part of the conversation. *
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Additional comments about your nominee.
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Would you like to recieve information about how to sponsor your nominee? *
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