Nominator Information Your Name: Your Email: Your Phone Number (optional): Your Organization (if applicable): Nomination Details Why are you nominating this individual for the Women with Purpose Award? How has the nominee demonstrated purpose and leadership in her field? Any additional comments or supporting information?(Optional – Include links, references, or testimonials if applicable.) What impact has the nominee made in her community, industry, or beyond? Consent and Submission By submitting this nomination, you confirm that the nominee is aware of and consents to this nomination. You also agree that the information provided is accurate to the best of your knowledge. I confirm the nominee is aware of this nomination. I agree to the terms of nomination and submission. Signature (if submitting in print): Date