TRAILBLAZER NOMINATION FORM

The Trailblazer Award recognizes women in Santa Cruz County who, through their professional or personal efforts, are making extraordinary differences in the lives of women or girls. Honorees are people who have worked to make a significant impact on and improve the lives of women or girls, as well as inspiring and encouraging them. Those that are recognized as Trailblazers may have a focus in (but not limited to) areas such as criminal and economic justice, education, prevention of violence against women and girls, women’s healthcare, political participation, and/or various organizations that support the interests of women or girls.

Recipients of the Trailblazer Award will be recognized on International Women's Day, Sunday, March 8, 2026 in a special recognition gathering via Zoom.

To nominate someone for this award, please complete this form and submit it by Monday, January 12, 2026.

NOTE: Because your nomination is all the information we have about your nominee, please be as detailed and specific as possible. Include examples not only of the nominee’s activities, but also specific information about the impact those activities have had in bettering the lives of women and girls in Santa Cruz County.

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* 1. Nominee Name

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* 2. Nominee Phone

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* 3. Nominee Email

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* 4. Give examples of how their work has had a significant impact on the lives of women and girls.

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* 5. Provide at least one example of how they identified a need of women and girls and worked to address it.

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* 6. Provide at least two examples of how their work has inspired and encouraged women and girls.

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* 7. Please provide at least one example of how their work with women and girls has been creative and innovative

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* 8. Is there anything else that you would like to share with us about the nominee that has not been stated previously?

TRAILBLAZER NOMINATION FORM

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* 1. Nominee Name

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* 2. Nominee Phone

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* 3. Nominee Email

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* 4. Give examples of how their work has had a significant impact on the lives of women and girls.

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* 5. Provide at least one example of how they identified a need of women and girls and worked to address it.

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* 6. Provide at least two examples of how their work has inspired and encouraged women and girls.

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* 7. Please provide at least one example of how their work with women and girls has been creative and innovative

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* 8. Is there anything else that you would like to share with us about the nominee that has not been stated previously?

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* 9. Your Name

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* 10. Your relationship to the nominee

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* 11. Your Phone

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* 12. Your Email