YOUR Full Name

YOUR Email (for our records ONLY)

YOUR Phone # (for our records ONLY)

NOMINEE'S Full Name

NOMINEE'S Email (for our records ONLY)

NOMINEE'S Phone # (for our records ONLY)

Tell us a Bit About Why This Woman Deserves to Attend this Event for FREE

Check ALL That Apply:

She is AWARE I Am Nominating Her for This Event
She is AVAILABLE March 27, 2021
She will be ABLE to Join in via Zoom on a Tablet, Laptop or Computer
(Optional) She HAS benefited from the help of A Women's / Community Organization in the past
I AM NOMINATING MYSELF