Nomination Form

ATTENTION: Please ensure that you have completed all of the required fields. We advise that you keep a copy of what you are submitting (copy and paste the content into a Word document or some other text editor). If you receive an error when submitting your nomination form, please contact us for assistance.

* As a nominator, I have read and understand the Nomination Guidelines.

View Nomination Guidelines.

The woman/group I wish to nominate is:

Nominee must be informed prior to nomination submission.

*Nominee's Name / Group Name

*Nominee's Address

*City/Town

*Postal Code

*Nominee's Phone Number

Nominee's Alternate Phone Number

Nominee's Email (preferred)

Nominee's Twitter Handle

*Nominee's Age

Nomination Category (please select all that apply)
 Arts & Culture Community Service Entrepreneur Group Achievement Health & Wellness Lifetime Achievement Professional Science, Technology, Engineering & Math Sports & Recreation Young Adult (14 to 21)

*Please note: An adjudication committee will make the final decision on the most appropriate category for your nominee.*

* As a nominator, I have notified my nominee and obtained their consent to submit a nomination.

Nominator Information:

*Your Name

*Your Address

*Your City/Town

*Your Postal Code

*Your Primary Phone Number

Alternate Phone Number

*Your Email

Tell us about your nominee:

*Provide a brief personal description and/or some unique qualities of your nominee(s) in regards to why they are being nominated for Women of the Year. (Max 500 characters) Note: This information will be printed in the event program.

*How has your nominee(s) demonstrated commitment within the nominated category? Please include information on participation in the community, the economy and the environment. (Max 2000 characters)

*List any awards, certifications, other recognition or pertinent information given to your nominee(s) that would support the nomination for Women of the Year: (recent examples e.g. newspaper articles, letter of endorsement, etc. should be mailed to the K-W Oktoberfest Inc. office).

*How has the nominee(s) made an important contribution or lasting impact in the Waterloo Region community, either through volunteer work or professionally?

*Was the nominee's contribution through work (paid position) or volunteering (unpaid)? Explain.

*How does the nominee's involvement inspire those around her/them?

*What qualities make the nominee(s) someone to admire?

Please attach supporting documents. The entire nomination should be no more than four pages (double-sided), including attached files.
Acceptable File Types: pdf, txt, jpg, jpeg, doc, docx
File size limit: 1mb/file

If you prefer not to attach the files, supporting documents can be mailed to 17 Benton Street, Kitchener, ON N2G3G9 (attention Women of the Year Committee) or can be faxed to 519-742-3072. Please ensure they are mailed or faxed by the deadline.

 I will be sending my supporting documents by mail or fax.