90 Women Honored Nomination Form

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Nomination Criteria

Entries due by September 15.

Please address the following criteria in detail, providing specific examples and anecdotes to support your nomination.

Note: All fields are required.

Nominator Information

Name

Phone Number

Relationship to Nominee

Nominee Information

Nominee's Full Name

Nominee's Maiden Name

Nominee's Current Address

Nominee's Phone Number

Nominee's Email Address

Please select one or more of the following Fields of Success in which the nominee excels:

Highlights

STEM (Science, Technology, Engineering, Mathematics) Change Maker (Social Justice, Advocacy, Philanthropy) Environment / Outdoor (Conservation, Sustainability, Outdoor Leadership) Media (Journalism, Communications, Film, Digital Media) Life Skills (Financial Literacy, Education, Culinary Arts, Trades) Civic Leadership (Government, Public Service, Community Organizing) Arts & Culture (Visual Arts, Performing Arts, Literature, Cultural Preservation) Up-and-Comers (Individuals under 40 making significant strides in any field)

Essay Qualifications

Demonstrates the Values of Girl Scouting

How does the nominee exemplify the Girl Scout Law in her daily life and actions? (Consider honesty, fairness, courage, compassion, sisterhood, respect for authority, responsibility, health and safety, resourcefulness, respect for others, and making the world a better place.)

Demonstrates the Values

Significant Achievements and Impact in their Field of Success

Describe the nominee's significant achievements and impact within their identified field(s) of success. Please be specific about their contributions and the scope of their influence.

Significant Achievements

Leadership and Service

How has the nominee demonstrated leadership qualities and a commitment to service throughout her life, particularly within her field or community? (This could include professional leadership, volunteer work, mentoring, or other forms of service.)

Leadership

Connection to Girl Scouting

How has her experience in Girl Scouting influenced her life and achievements, particularly in relation to her chosen field? Does she continue to support or engage with Girl Scouting in any way? (Your nominee need not have been affiliated with Girl Scouts.)

Connection to Girl Scouting