WOD Nomination Form - YWCA Sudbury

Nominator (You) Information
ALL NOMINATION PACKAGES MUST INCLUDE THIS COMPLETED FORM, WRITTEN RESPONSES TO THE 2 CRITERIA QUESTIONS, A ONE PAGE LETTER OF INTRODUCTION AND MAY INCLUDE UP TO 2 LETTERS OF SUPPORT.
Select Nomination Category that Applies
- Individual Award
- Young Woman of Distinction (16 to 30 years)
- Group of Women of Distinction
- Posthumous Award
- Cecile Gibson Memorial Award
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone (Day)
Phone (Evening)
Email
Consent
I hereby declare the information contained in this nomination to be true to the best of my knowledge
Nominator Signature
Nomination Form
Nominee Full Name
First Last
Nominee Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Nominee Phone Number
Nominee Email
Question 1 – ACHIEVEMENTS/ COMMITMENT
What are the outstanding achievements, accomplishments, and/or leadership in her home, work or community that make your nominee a Woman of Distinction?
Question 2 – IMPACT ON WOMEN AND GIRLS
A door opener helps women to achieve greater independence and success in any career, breaks new ground or old barriers; a role model leads by example, mentoring, educating and is a source of inspiration and motivation. In what ways is your nominee a door opener and/or role model ?
Upload Letter of Introduction*
Drop files here or

Accepted file types: doc, pdf, docx, Max. file size: 300 MB.
(Max 1 Page)
Upload Letter(s) of Support*
Drop files here or

Accepted file types: doc, pdf, docx, Max. file size: 300 MB.
(maximum two letters; one page maximum per letter)
Nominee Consent
- I have read the information contained herein, certify it to be true and correct in its entirety and hereby allow my name to stand for nomination. I agree to attend the Women of Distinction Gala. I am available and agree to be featured in a filmed autobiographical vignette for the purpose of the event. Additionally, I give my consent to the publication of my name, photograph, video and biography in connection with the YWCA Sudbury Women of Distinction Awards and YWCA agency materials.
How did you learn about our event?
- YWCA Staff member
- YWCA Board member
- YWCA event/function
- Woman of Distinction Award Recipient
- Woman of Distinction Award Booklet
- Colleague, family, friend
- Email
- Social Media
- Newspaper
- Radio
- Website
- Other:
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Email
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Nominator (You) Information

Nomination Form