2013 Tribute to Women Nomination Request

On June 5, 2013, the 19th annual YWCA Tribute to Women luncheon will honor our area’s finest women. The event will recognize a woman who works in the region, exhibits leadership and creativity, promotes positive attitudes and integrity
in her workplace, and serves as a role model for other women.

The nomination criteria for this award is a woman that is currently active in her field and is able to accept the award in person on June 5, 3013. To nominate an individual for the Tribute to Women Award, please provide the following information.

Part I: Nominee Information

Nominee's Name

Nominee's Address

Nominee's Phone

Place of Employment

Nominee's Position

Years at Position

Major Responsibilities/Scope of Position

Part II: Nominee QualificationsThe Selection Committee uses a grid system to evaluate questions 2, 3, 4 & 5. Please provide as much information as possible.

Biographical Profile: Please include employment, education and other personal information of interest about your nominee. A resume may be attached if available.

How does this woman demonstrate leadership, creativity, excellence and integrity in her field?

How does this woman demonstrate leadership, creativity, excellence and integrity in the community?

How has this woman been a role model for other professional women? Ex: How does she exhibit positive attitudes within the work environment?

Please include a brief description of the nominee's business/organization.

Part III. Nominator Information

Nominator's Name

Date

Company/Organization

Title

Address

Phone

E-mail Address

*Please type the characters you see in the box. Get a new code

Nomination Deadline has been extended to March 15, 2013

If additional space is required, please feel free to add. Additional information and support material is welcome.

The Tribute to Women nomination form may be found on the YWCA Elmira & the Twin Tiers website and is also a link on WETM TV’s website at wetmtv.com.

Please submit your nomination by e-mail or mail to:

YWCA
Elmira & the Twin Tiers
211 Lake Street
Elmira, NY 14901

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