Women of Excellence Adult Nomination Form



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Thank you for nominating a candidate for the YWCA Women of Excellence. Please complete the online form below for each candidate you wish to nominate.

    How did you hear about the YWCA Women of Excellence?

    eMailMailWebsiteOther (please specify below)

    Name of Nominee

    First

    Maiden

    Middle

    Last

    Address

    Street

    State

    City

    Zip

    Phone

    Business

    Home

    Husband's Name

    Cell

    E-mail

    Children’s Names

    Check the category for which the candidate is best suited for consideration

    Arts & CultureBusinessEducationGovernmentHuman ServicesMedicineReligionHuman Science

    Upload Files

    Based on the criteria listed in the Guidelines for Nominations, please attach a maximum of five (5) pages (excluding letters of support) that include the following information.

    Identify and focus on significant paid career accomplishments qualifying this nominee to be considered.

    Explain the impact of your nominee’s contribution:

    • To Lubbock

    • To her career/profession

    • Why she deserves to be recognized as a Woman of Excellence.

    Attach a biographical sketch of the nominee, including significant aspects of her background, education, family, and career.

    Attach a copy of the nominee’s resume (optional).

    Letters of support (optional).

    Delete File

    Delete File

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    Nominator Information

    This application is submitted under the name of:

    A Business/Organization (complete only Section 1 below)Individuals (complete only Section 2 below)

    List the sponsoring business, organization, or individuals as you wish names to appear in the YWCA Women of Excellence Program. Please COMPLETE EITHER SECTION 1 OR SECTION 2.

    Section 1:

    BUSINESS/ORGANIZATION SUBMITTING NOMINATION

    Name of Business/Organization

    Address

    Street

    State

    City

    Zip

    Phone

    Business

    Cell

    E-mail

    Person Completing Form

    Name

    Title

    Phone

    Section 2:

    INDIVIDUALS SUBMITTING NOMINATION (must have three)

    1.

    Name

    E-mail

    Address

    State

    City

    Zip

    Business Phone

    Cell Phone

    2.

    Name

    E-mail

    Address

    State

    City

    Zip

    Business Phone

    Cell Phone

    3.

    Name

    E-mail

    Address

    State

    City

    Zip

    Business Phone

    Cell Phone

    Who You Are

    Your Name

    Your Email (required)