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YWCA Employer of Excellence Nomination Form
Completing this form in detail and reviewing the selection criteria carefully optimizes your honoree’s chance of receiving the award. Please answer all questions in the following three sections as accurately as possible. If you have questions regarding this form, please contact Melissa Ferguson, YWCA Public Relations Manager, by phone at 816.232.4481 or by email at mferguson@ywcasj.org.
Part One: Employer Information
Name of Employer:_______________________________________________________
Name of Chief Officer: ____________________________________________________
Business Address:________________________________________________________
Business Phone:__________Fax Number:_________E-Mail Address:_______________
Part Two: Nominator Information
Name of Nominator:_______________________________________________________
Check your association with the employer nominated: ___ Employee ___ Customer/client ___ Other (specify): _______________________________________________
Address:________________________________________________________________
Phone:____________________________________Fax Number:___________________
Part Three: Narrative Information
Please provide a maximum of two double spaced pages in this section. To ensure non-biased judging please do not refer to the employer by name in your narrative, but do place the words “Employer of Excellence nomination” at the top of each page.
Indicate why this employer should be selected for a YWCA Employer of Excellence Award by addressing each of the three criteria below. Scoring will be based upon the employer’s contributions in each of the three areas.
Achievement: Describe how this employer encourages high achievement by women. Examples might include the general environment, specific written policies, or a situation where the employer has shown flexibility.
Sustainability: Provide a history of the company that illustrates how women have advanced into professional and management positions.
Impact: Describe any other reasons this employer is an excellent place for women to work.
Please return the completed nomination along with a camera-ready copy of the employers logo postmarked by Friday, March 31 to: YWCA St. Joseph, 304 N. 8th, St. Joseph, MO 64501. Faxes will be accepted at (816)232-4494.
The YWCA is a Member Agency of the United Way of St. Joseph |

