2025 Women of Distinction Nomination Form — YWCA Rock County | Advocacy for Women & Girls | Immigrant Services

2025 Women of Distinction Nomination Form

YWCA Rock County invites you to participate in our Annual Women of Distinction Awards by nominating a woman or young woman (21 and under) who has made a significant impact in our community. In completing the application, consider how the nominee has achieved personal & professional success that is perceived to be above and beyond what could be expected.

Since 1975, the YWCA Rock County Women of Distinction Awards has honored more than 275 individuals and organizations who have improved women’s lives through community service, professional achievement, integrity, leadership, and dedication to the well-being of others. Who will be honored in 2025?

Nominations must be received no later than 4pm on Monday, January 20, 2025.
Please ensure all nominations and letters of support/recommendation are current to the 2025 nomination process. Letters dated more than 60 days prior will not be considered by the selection committee.

On Wednesday evening, May 7, 2025, we will award honors for Women of Distinction and Young Women of Distinction.

Nomination Checklist:
As you submit your nomination, please make sure to provide the following:
* Submit this Nomination Form and any other supporting materials or letters to YWCA Rock County by 4PM, Monday, January 20, 2025.
* Letters of support: If your nominee has achieved success at work, at church, by assisting a nonprofit organization, etc., please submit letters of support. These help the selection committee get to know more about the nominee. Please upload these directly into the form below.

Nominee Name

First Name

Last Name

Nominee Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Nominee Employer

Nominee Phone

(###)

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Nominee Email

Nominator/Your Name

First Name

Last Name

Nominator/Your Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Your Phone

(###)

###

####

Your Email

Your Employer

What is your relationship to the nominee?

Please answer each of the following questions with 250 words or less.

Summarize your nominee’s accomplishments for use as an introduction to the nominee in publicity materials.

Please answer each of the following questions with 250 words or less.

Leadership: How has the nominee utilized her position to motivate others, influence outcomes, gain support for initiatives, or chaired committees, events, or causes?

Please answer each of the following questions with 250 words or less.

Role Model: Describe how this person has served as a role model for others in her community or her profession. (Examples: How has the nominee influenced the lives of others? How has she helped women and girls achieve their goals? Is she a role model in her profession or in a volunteer capacity? Has she mentored, coached inspired, helped others through words and actions?

Please answer each of the following questions with 250 words or less.

Community Involvement: How has the nominee given back to the community through her time, talent, and/or resources? (Examples: Involvement in non-profits, faith-based organizations, youth activities, education, advocacy, giving back of time and/or talent to the community)

Please answer each of the following questions with 250 words or less.

Achievements: How has the nominee demonstrated sustained excellence, accomplishment, and creativity in her profession? Please give specifics about how the nominee has garnered respect within Rock County other professional field (success, promotions, other awards, overcoming obstacles, family commitments, goals reached)

Please answer each of the following questions with 250 words or less.

Eliminating Racism & Empowering Women: How has the nominee shown that she actively supports the YWCA mission of eliminating racism and empowering women? (Examples: How has she proactively strengthened policies, practices, attitudes and/or actions that are creating equity for everyone? How is she involved in women’s issues and/or improving economic status? How has she worked to eliminate racism and make the Rock County community more inclusive and equitable?)

Please answer each of the following questions with 250 words or less.

State any other reasons why this nominee should be recognized as a Woman of Distinction. (OPTIONAL)

Please answer each of the following questions with 250 words or less.

2025 Women of Distinction Nomination Form

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