Empowering Women in Philanthropy 2020 Nomination Page

Name of NOMINEE*
First Last
Address of NOMINEE*
Street Address Address Line 2 City State ZIP Code
Phone of NOMINEE*
Email of NOMINEE*
NOMINEE Social Media Links*
Employer of NOMINEE
Job Title of NOMINEE
Website of NOMINEE*
How is the nominee impacting others outside the workplace? Describe how the nominee gives back to others through her service in volunteering, raising money for and/or running a charity.*
Your Name*
First Last
Your Address*
Street Address Address Line 2 City State ZIP Code
Your Phone*
Your Email*
Employer*
Job Title*
What is your relationship to the nominee?*