2019 Emerging Leader Nomination Form: Women's Leadership Conference

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Scholarship Nomination Application

THANK YOU FOR NOMINATING A WOMAN IN YOUR LIFE!

Complete this form to nominate a woman for an Emerging Leader Scholarship to the 2019 Women's Leadership Conference, held Nov. 1, 2019 at Verizon Center Grand Hall in Mankato, MN.

Paper versions of this form are available at YWCA Mankato (127 S. 2nd St., Suite 200, Mankato). Please contact Laura Stevens at laurastevens@ywcamankato.org, 507-345-4629 with any questions.

Deadline: Oct. 11, 2019

Please submit applications by Oct. 11, 2019!

Nominee Information

Nominee's First & Last Name: *

Nominee's Email Address:

Nominee's Phone Number: *

Nominee's Mailing Address:

Nominee's Age (if known):

Under 18

18-22

23-29

30-39

40-49

50-59

60+

Nominee's Race/Ethnicity (or put unknown): *

Could the nominee afford to attend the Women's Leadership Conference without this scholarship? *

Yes

Unsure

Nominee: Leader & Woman

Tell us a little about her. *

Why do you think the nominee will benefit from attending the 2019 Women's Leadership Conference? *

Describe the nominee as a leader: How does she lead? What are her strengths? What motivates her? *

Are there obstacles in her life that the nominee overcame? How? *

Is the nominee available to attend the Women's Leadership Conference on November 1, 2019? *

Yes

Other:

Has the nominee previously attended the YWCA Mankato Women's Leadership Conference? *

Yes: Not as an Emerging Leader (Note: Does not impact eligibility)

Yes: As an Emerging Leader (Note: Please contact YWCA Mankato for Returning Emerging Leader Ticket Benefits: laurastevens@ywcamankato.org)

Your Information:

Please fill out this section with your information (not the name of the nominee).

Your First & Last Name: *

Your Email Address: *

Your Phone Number: *

Your Mailing Address:

Are you interested in serving as a Conference Mentor for your nominee or another Emerging Leader Scholarship recipient? *

Yes

Unsure, but please provide me with additional information

THANK YOU FOR NOMINATING A WOMAN IN YOUR LIFE!

After scholarship decisions have been made, the nominee will be contacted directly and will be informed that you nominated her for this Scholarship Award.

If you have any questions, please feel free to reach out to Laura Stevens at laurastevens@ywcamankato.org or 507-345-4629.

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