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2012 YWCA Academy of Women

Nomination Form

The Academy of Women event is presented biennially by the YWCA of Central Virginia to honor women who have made an extraordinary contribution to the Central Virginia community. We invite you to help us recognize our women of achievement by submitting a nomination. An individual, organization, or group may nominate any woman living in Central Virginia. There is no financial obligation to the person nominating or to the honoree.           

Women are recognized in the following areas:

 ·  ARTS                                                       ·  HEALTH/HUMAN SERVICES

·  ATHLETICS                                               ·  LEADERSHIP

·  BUSINESS                                                ·  MINISTRY/OUTREACH

·  COMMUNICATIONS                                   ·  VOLUNTEER

·  EDUCATION                                              ·  YOUNG WOMAN

·  GOVERNMENT/LAW                                

 To nominate a deserving woman, please print out this form and mail to
YWCA AOW
626 Church St.
Lynchburg, VA 24504

All forms must be received by July 1, 2012.

The Academy of Women event will be held on October 12, 2012 – the 100th Birthday of the YWCA of Central Virginia.

 Nomination Category: _____________________________________________________________________

Nominee’s Name: _____________________________________________________________________

Street Address or P.O. Box: _____________________________________________________________________

City: _________________________ State: VA Zip: ____________________

Telephone Number: (day) _____________________ (evening) ____________________________

Person/Group/Organization Submitting Nomination: _______________________________________________

Street Address or P.O. Box: ______________________________________________________________________

City: _________________________ State: VA Zip: ____________________

Telephone Number: (day) _____________________ (evening) ____________________________

Affiliation to Nominee: ______________________________________________________________________

Statement of Nomination (300 word maximum) : __________________________________________________

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If you need more space, you may attach a maximum of one sheet and a one-page resume (not required). This form may be photocopied and you may submit more than one nomination.

You may also apply online! Please visit www.ywca.org/centralvirginia or request a Word document to be sent by e-mail at lynchburgywca@gmail.com.

PLEASE MARK YOUR CALENDARS FOR OCTOBER 12, 2012 AND JOIN US FOR THE ACADEMY OF WOMEN EVENT AT THE KIRKLEY HOTEL BALLROOM, LYNCHBURG, VIRGINIA.

 

 
YWCA Central Virginia • 626 Church Street • Lynchburg, VA 24504
email: 
ywcacentralvirginia@ywconnect.org • Phone: 434-847-7751 • Fax: 434-528-3449
Copyright 2012