JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2022 Woman Extraordinaire Candidate Profile
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Candidate’s Name:
*
Your answer
Candidate's Current Title or Position:
*
Your answer
Nominator’s Name:
*
Your answer
Online profiles (e.g., Wikipedia, own website, university, company):
Your answer
Speeches on YouTube or elsewhere (if available):
Your answer
1. How has this candidate distinguished herself in her field(s) of endeavor? Please provide a description of the philanthropic, professional, and/or corporate positions held and her accomplishments within each.
*
Your answer
2. What are the candidate’s international credentials/experiences and how do they further the mission of IWA to support international/diverse cultures, promote global understanding and advocate for human rights?
*
Your answer
3. Which organizations is this candidate affiliated with and what roles has she played within the organizations?
Your answer
4. How will this candidate draw attendance from the Chicago area’s broader community? List the groups that are likely to send representatives to the event and that IWA can contact for WEX Sponsorship.
Your answer
5. How will this candidate appeal to the membership of IWA?
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of International Women Associates.
Report Abuse
Forms
