Women's Commission

Nomination Form

Please select an award


Nominator
First Name
Last Name
Preferred email address
Preferred phone number (ex. xxx-xxx-xxxx)

Nominee
First Name
Last Name
Title
Department
Email Address

Please list your support for your nominee according to the guidelines for the award. (You may enter 1200 characters)

If you would like to send a supporting letter please attach it here. (Only *.txt, *.rtf, *.pdf, and *.doc accepted)