Missouri State University

Application Form

 

 

Woman of Distinction Award

Ozarks Woman of Distinction Award

 Sponsored by Ozarks Alliance of Professional Organizations and Missouri State University Gender Studies Program

Nomination Deadline: January 29, 2010

Submit nominations as a Microsoft Word or text document and email to sself@missouristate.edu

 Nomination Guidelines:

·        Nomination is open to all women in private or public sectors in the Ozarks.

·        You may nominate yourself. Use additional pages to provide a clear picture of the woman’s contributions. Focus on areas in which she has helped better other women’s lives.

 

Nominee Name_______________________________

Email_____________________________________

Address____________________________________

City____________________________

Daytime Phone_____________  Evening Phone___________

 

Nominated by____________________________________

Email_____________________________________

Address____________________________________

City____________________________

Daytime Phone_____________  Evening Phone___________

 

1.      Please provide some relevant background information about her as a person. Minimum of one page and maximum of three.

2.    How has she demonstrated innovation in positively influencing the lives of Ozarks women?

3.    Examples of positive leadership in society, economy, technology, culture or other areas.

4.    Evidence of the encouragement, mentoring, or support she has provided to Ozarks women.