Nomination Guidelines
1. The nominee may not be a previous recipient. See the full list of recipients at
www.altonywca.com/academy
2. The nominee demonstrates the following qualities:
a. Exhibits leadership in her area of expertise
b. Serves as a positive role model
c. Serves as a mentor to other women and girls by her action
d. Advocates for positive social change that helps to improve her community
e. Demonstrates a commitment to the YWCA mission of eliminating racism and
empowering women
f. Supports policies, practices, attitudes and actions designed to produce equitable
outcomes for all
g. Gives back to the community through her time, talent, and resources
3. The nominee lives, works, or in Madison or Jersey County.
4. You may include 2 to 3 letters of support (no more than 1 can be from an immediate
family member). Please be clear and concise.
5. Please do not submit additional materials other than those requested. Resumes and
articles are not required.
6. Do not place the nominee’s name on the application form.
7. Nomination formatting notes:
a. Handwritten materials and faxes will not be accepted.
b. Please no binders, laminations or paper clips. Staple only.
8. Additional sheets may be attached, if the space provided for each response is not
sufficient.
9. Submit nomination packet – nomination application and support letters to the
YWCA of Alton by 5:00 p.m. on Monday, February 6, 2017, via e-mail to
[email protected] or drop off a printed copy at 304 East Third Street,
Alton, or mail to 304 East Third Street, Alton, IL 62002. If mailed – must be
postmarked no later than 5:00 pm February 6, 2017. No exceptions to this
deadline will be made.
10.A list of frequently asked questions [FAQs] may be downloaded from the YWCA
website – www.altonywca.com or may be viewed on Facebook at
www.facebook.com/altonywca
You may make additional copies of the Nomination form.
YWCA of Alton • 304 East Third Street • Alton, IL 62002 • 618 465-7774 • www.altonywca.com
Nomination Form - Page 1 of 4
Woman of Distinction Nomination Form - 2017
I/We wish to nominate the woman listed below as a Woman of Distinction for 2017.
WOD NOMINEE INFORMATION
Name:
Address:
Telephone:
(Day)
(Evening)
Email:
Please provide the following information about your Nominee on the attached sheet: You may have your nominee or
someone else complete the nomination form.
1. Tell us what she has done to empower, support, nurture, and foster women and girls, other than her role
within her family.
2. Tell us about her responsibilities and activities that involve service to the community and support the
mission of the YWCA.
3. What are her greatest accomplishments in fostering the growth and development of women and girls
outside of her family circle?
4. What do you consider her most important lifetime achievements?
5. Tell us about her Professional Associations and length of time involved.
6. What are her present and past affiliations with service-oriented groups, clubs, and organizations?
7. How has she given back to her community through her time, talent, or resources?
February 6
March 1
April 27
Nominations Closed (postmark deadline 5:00 pm February 6, 2017)
Announce Honorees to the press
Women of Distinction Dinner
6:00 p.m. Lewis & Clark Community College ‘Commons’
NOMINATOR INFORMATION (Individual or Group)
Name:
Organization:
Address:
Telephone: Day
Evening
Email:
Nomination Deadline – Monday, February 6, 2017
Submit an electronic copy of the nomination w/ Application Form to [email protected] or
submit a paper copy at 304 Third Street, Alton, IL 62002 or
viaThird
regular
[must
be •postmarked
or before 5:00 pm February Nomination
6, 2017] Form - Page 2 of 4
YWCA of Alton • 304 East
Street mail
• Alton,
IL 62002
618 465-7774 •on
www.altonywca.com
APPLICATION FORM 2017– Page 1
Applicant #
Please do not write above this line.
1. Tell us what she has done to empower, support, nurture, and foster women and girls, other than her role
within her family.
2. Tell us about her responsibilities and activities that involve service to the community and support the
mission of the YWCA. e.g., How has she influenced or proactively strengthened polices, practices, attitudes
or actions that create equity for everyone? What is her involvement with women’s issues, specifically those
that improve women’s economic status? What has she done to make her community more inclusive and
equitable?
3. What are her greatest accomplishments in fostering the growth and development of women and girls outside
of her family circle? e.g. How has she influenced the lives of others? How does she mentor other women
and girls? How has she helped women and girls improve their lives or achieve their goals? Has she broken
down any barriers for future generations or worked to close the leadership gap or improve her community?
If so, how?
YWCA of Alton • 304 East Third Street • Alton, IL 62002 • 618 465-7774 • www.altonywca.com
Nomination Form - Page 3 of 4
APPLICATION FORM 2017 – Page 2
Applicant #
Please do not write above this line.
4. What do you consider her most important lifetime achievements? Give specific examples.
5. Tell us about her Professional Associations and length of time involved.
6. What are her present and past affiliations with service-oriented groups, clubs, and organizations?
7. How has she given back to the community through her time, talent, or resources?
YWCA of Alton • 304 East Third Street • Alton, IL 62002 • 618 465-7774 • www.altonywca.com
Nomination Form - Page 4 of 4