Women Who Prevail Nomination Form

Women Who Prevail Award Nomination Form

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

This field is hidden when viewing the form

Next Steps: Sync an Email Add-On

To get the most out of your form, we suggest that you sync this form with an email add-on. To learn more about your email add-on options, visit the following page (https://www.gravityforms.com/the-8-best-email-plugins-for-wordpress-in-2020/). Important: Delete this tip before you publish the form.

Women Who Prevail Award Nomination Form

Name of Nominee*

Please enter the first and last name of the woman you are nominating for this award.

Nominee's Email*

We will not include the email address on any event information. Please share the email so that Child Advocates staff can contact the nominee with any questions.

Nominee's Phone Number*

We will not include the phone number on any event information.

Nominee's Organization/Employer (if applicable)

Share the name of the nominee's current organization or employer, if applicable.

Nominee's Role or Title (if applicable)

Name of Nominator*

Please enter the first and last name of the person who is nominating the person above for the award.

Nominator's Email*

We will not include the email address on any event information. Please share the email so that Child Advocates staff can contact you with any questions.

Nominator's Phone Number*

We will not include the phone number on any event information.

Your Relationship to the Nominee*

What makes this woman someone who "prevails" for others?*

Share what you see in her—her heart, character, quiet strengths, or the way she shows up for children, friends, families, or her community.

How has she made a difference in the lives of others?*

You may include stories, moments, or examples that show her impact, whether big or small.

How does she demonstrate leadership—in her workplace, community, or personal life—that helps create hope or positive change?*

Leadership can be formal or informal, public or behind the scenes.

Has she prevailed through her own difficult life circumstances?*

If you feel comfortable, share how her personal journey, challenges, or resilience have shaped the way she cares for others or brings hope into the world.

How does she bring hope to others?*

Describe how she encourages, uplifts, or helps create a sense of possibility for those around her.

Optional: Anything else you’d like us to know?

Feel free to share additional reflections, memories, or notes of appreciation.

Headshot

Max. file size: 1 GB.

Upload a JPG or PNG of your preferred headshot

Letters of Support

Max. file size: 1 GB.

Optional

Testimonials or Stories

Max. file size: 1 GB.

Optional