Biannual Awards Nomination
Please enter your name.
*
First Name
Last Name
Email
*
example@example.com
Award Category
Please pick a category
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Woman of Achievement
Emerging Leader
Community Impact Award
Lifetime Service Award
Professional Excellence Award
Nominee Selection
Please pick a nominee from the dropdown below
*
Please Select
Angelica Houston
Grace Jones
Bridgette Bardot
Yma Sumac
Nominee Statement
Why are you nominating this induvidual
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Confirmation & Consent
Please confirm
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I certify that the information provided is accurate to the best of my knowledge and that I have the nominee’s permission to submit this nomination.
Print Form
Submit Nomination
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