WEEK 2024 Women in Leadership nomination

2024 Women in Leadership nomination

Nominations will be accepted January 1 - February 16, 2024
Nominee Information*

Name of Nominee

Street Address

CityState

Zip Code
Nominee's home phone*

Area CodePhone Number
Nominee's work phone*

Area CodePhone Number
Fax*

Area CodePhone Number
Nominee's Email address*
example@example.com
Nominee's place of work
Nominee's current position
Nominated by*

Name of Nominator

Street Address

CityState

Zip Code
Nominator's Email address*
example@example.com
Nominator's phone*

Area CodePhone Number
Nominator's fax*

Area CodePhone Number
Explain why this individual should receive the 25 Women in Leadership Award*
Please provide specific examples of accomplishments demonstrating leadership. Please show evidence of leadership in as many categories as possible.*
In her profession
In her community
In her dedication to family
Describe how this nominee serves as an inspiration an d role model within her sphere of influence.*
In her dedication to family
Please provide examples of past recognition, honors, awards, etc. received by the nominee.*
In her dedication to family
In your estimation, what single word best describes this nominee?
Submit this completed nomination form by February 16th, 2024. Or print and mail it to WEEK Television, Attention Christy Howell, 2907 Springfield Road, East Peoria, IL 61611. Or fax it to (309) 698-9663.
Terms and Conditions

I have read, understand, and agree to the Terms of Service and privacy policy.
Client and partners have read Gray Local Media, Inc.'s Standard Terms and Conditions at https://graymedia.com/about/terms-of-use and agree to those terms in full.
Should be Empty: