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> Nomination Form --2023 Women of Distinction-Celebrating 60 Years of Impact!
Nomination Form --2023 Women of Distinction-Celebrating 60 Years of Impact!
Nomination Requirements:
Only one nominee per person or organization will be accepted.
Nominators must complete the nomination form below.
Please email
nominate4wod@gmail.com
a high resolution headshot of the nominee.
The nominee must submit a 300 word Nominee Narrative. The narrative is used for judging by an independent panel of WOD judges.
All required information must be submitted no later than
August 16, 2023
for consideration. Late submissions will not be accepted.
Additional information will not be accepted or considered.
Contact
nominate4wod@gmail.com
or
soroptimist4women@gmail.com
with any questions.
All nominator / nominee information must be submitted by August 16, 2023. Please inform your nominee that you are making this submission.
2023 Nomination Form - PDF
Nomination Form (to be completed by nominator)
Nominee's Name
required
Phonetical Spelling of Nominee's Name
required
Home Address
required
City
required
State
required
AK - Alaska
AL - Alabama
AR - Arkansas
AZ - Arizona
CA - California
CO - Colorado
CT - Conneticut
DC - Washington, D.C.
DE - Delaware
FL - Florida
GA - Georgia
HI - Hawaii
IA - Iowa
ID - Idaho
IL - Illinois
IN - Indiana
KS - Kansas
KY - Kentucky
LA - Louisiana
MA - Massachusetts
MD - Maryland
ME - Maine
MI - Michigan
MN - Minnesota
MO - Missouri
MS - Mississippi
MT - Montana
NC - North Carolina
ND - North Dakota
NE - Nebraska
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NV - Nevada
NY - New York
OH - Ohio
OK - Oklahoma
OR - Oregon
PA - Pennsylvania
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VT - Vermont
VA - Virginia
WA - Washington
WI - Wisconsin
WV - West Virginia
WY - Wyoming
AS - American Samoa
GU - Guam
MP - Northern Mariana Islands
PR - Puerto Rico
VI - Virgin Islands
FM - Federated States of Micronesia
MH - Marshall Islands
PW - Palau
AA - America
AE - Europe
AP - Pacific
Zip
required
Preferred Contact Number
required
Email:
required
Nominated by
Name
required
Phonetical Spelling of Nominator's Name
required
Home address
required
City
required
State
required
AK - Alaska
AL - Alabama
AR - Arkansas
AZ - Arizona
CA - California
CO - Colorado
CT - Conneticut
DC - Washington, D.C.
DE - Delaware
FL - Florida
GA - Georgia
HI - Hawaii
IA - Iowa
ID - Idaho
IL - Illinois
IN - Indiana
KS - Kansas
KY - Kentucky
LA - Louisiana
MA - Massachusetts
MD - Maryland
ME - Maine
MI - Michigan
MN - Minnesota
MO - Missouri
MS - Mississippi
MT - Montana
NC - North Carolina
ND - North Dakota
NE - Nebraska
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NV - Nevada
NY - New York
OH - Ohio
OK - Oklahoma
OR - Oregon
PA - Pennsylvania
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VT - Vermont
VA - Virginia
WA - Washington
WI - Wisconsin
WV - West Virginia
WY - Wyoming
AS - American Samoa
GU - Guam
MP - Northern Mariana Islands
PR - Puerto Rico
VI - Virgin Islands
FM - Federated States of Micronesia
MH - Marshall Islands
PW - Palau
AA - America
AE - Europe
AP - Pacific
Zip
required
Company/Organization
required
Preferred Email
required
Preferred Phone Number
required
Nominee's Volunteer Position(s):
required
Length of Service
required
In 100 words, please tell us how your nominee has impacted your organization. This summary will be printed in our event program.
required
Do not exceed 100 words.
Verification
required
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