*1.Who are you nominating?(Required.)

*2.What is one word that describes this Superwoman?(Required.)

*3.How does this individual give of their time, talent or treasures within the Northern Colorado community?(Required.)

*4.What are some personal achievements?(Required.)

5.Any additional information you’d like to mention?

*6.Your name, phone number and other contact information:(Required.)

7.Phone number and contact information for woman you are nominating: