YWCA Greater Cleveland will recognize select group of women age 35 or under who have made an impact in their careers and in their communities.

Upon completion of this form, applicants will receive notification that their nomination has been received and is under review. All nominees will be evaluated by a panel and assessed strictly based on the information provided. For information or questions, contact Rachel Napolitano, Special Events Coordinator, at rnapolitano@ywcaofcleveland.org.

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. Company/Organization

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* 4. Your position/title

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* 5. Nominee's Contact Information

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* 6. Nominee's position/job title?

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* 7. Nominee is 35 or under

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* 8. Nominee's Race/Ethnicity

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* 9. Career Accomplishments

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* 10. Community Service

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* 11. Commitment to YWCA Mission: Eliminating Racism and Empowering Women

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* 12. Supporting Document 1

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* 13. Supporting Document 2

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* 14. Supporting Document 3

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* 15. Please include any website links here.

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