Women Who Rock -Women of Impact Awards Nomination
Each woman of impact must have at least one of the following criteria: a) advanced a cause that has broad impact on the community; b) achieved recognition as an expert or leader in a specific field; c) contributed in a significant manner to community. Please fill out this form to nominate a woman for an award. Nomination Deadline: October 1, 2022 Celebration: Sunday, October 23,2022. Online Event
Describe nominee's accomplishments and contributions in community or their field of endeavor:
Explain why your nominee deserves the selected award.
Describe what this nominees IMPACT has been on community or field of endeavor. (Please refer to the impact statements listed: a)advanced a cause that has broad impact on the community; b) achieved recognition as an expert or leader in a specific field; c) contributed in a significant manner to community.
Explain how the nominee's contributions/accomplishments has impacted the community or nominee's field of endeavor.
2. Nominee Information
Nominee's Name
First Name
Last Name
Nominee's Phone Number
Nominee's E-mail Address
example@example.com
Nominee's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
3. Nominator's Information
Your Name
First Name
Last Name
Your E-mail Address
example@example.com
Your Phone Number
Your Address
Street Address
Street Address Line 2
City
Province
Postal Code
Send Nomination
Should be Empty: