YWCA Women 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 816.232.9099 or by email at mferguson@ywcasj.org.

 

Part One: Nominee Information

 

Name of Nominee:_______________________________________________________

 

Select the award category for this nominee. Please nominate only one woman per category if you are making multiple nominations.

 

             ___  Woman in Volunteerism (an outstanding volunteer)

 

___  Woman in the Workplace (a leader in her place of work)

 

___  Woman in Support Services (an outstanding employee in a front line,

           administrative assistant, or support services position)

 

            ___  Emerging Woman Leader (an up and coming woman in her career field)

           

Home Address & Phone:___________________________________________________

 

Company/Agency:_______________________________________________________

 

Business Address:________________________________________________________

 

Business Phone:__________Fax Number:_________E-Mail Address:_______________

 

Position/Title:____________________________________________________________

 

 

Part Two: Nominator Information

 

Name of Nominator:_______________________________________________________

 

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 nominee by name in your narrative, but do indicate the award category across the top of the first page (such as Woman in the Workplace or Woman in Volunteerism).  

 

Indicate why this woman should be selected for a YWCA Woman of Excellence Award by addressing each of the six criteria below. Scoring will be based upon the nominee’s contributions in each of the six areas.

 

Degree of Achievement: Is she a leader, an agent for change, an outstanding employee or volunteer (depending on the category nominated in)? What are some of her achievements and awards?

 

Sustainability: Have the activities she has been involved with lasted or been replicated in other places? How long has she been in this field of work or been a volunteer (depending on the category nominated in)?

 

Impact: Because of this woman’s efforts, to what extent has her place of work or volunteerism (depending on the category nominated in) been changed for the better?

 

Help to Other Women: Give evidence to demonstrate that the candidate has assisted other women in achieving their goals in the workplace or volunteer field (depending on category nominated in).  

 

Extent of Role Modeling: Has the nominee, by her words and actions, paved the way for other women to do similar work?

 

Encouragement to Others: Is the nominee an encouraging person? Has that encouragement been in the form of both words and deeds?

 

 

Please return the completed nomination postmarked by Saturday, March 31 to:

YWCA St. Joseph, 304 N. 8^th, 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