YWomen Nomination Form

Nominee Information
Include as much information that you have on the person you are nominating.
Nominee First Name*
Nominee Last Name*
Email Address
Street Address
City
State
Zip Code
Phone
Nomination
Describe the work for which you are nominating this candidate:*
What about this woman and/or her work do you feel is so impactful?
Please direct us to websites or online articles that might reveal more about this nominee:
Your Contact Information
Please provide your contact information if you are nominating another person for this award.
Name
First Last
Email
Phone
After a preliminary review by the nominating committee, YWCA staff will follow-up for more information on the selected finalists.

If you have questions, feel free to contact Trimmy Stamell at tstamell@ywca-ens.org.

Nominee Information