The Inspiring Woman Award 2012 – Nomination Form

The nominee must be aware that she has been nominated to receive this award and must be available to attend the Inspiring Women event September 13, 2012.

Before filling out the following nomination form, please review the Award Criteria

Nominee Information
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Nominator Information
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Additional Information

Please answer the following questions in the spaces provided below. Please ensure that all award criteria have been met before filling out this form. All questions must be answered completely in order to be considered for review. There is no word limit to your replies, although it should be noted that volume does not override succinctness!

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* denotes a required field