NOMINATION FORM FOR
MONTANA FEDERATION OF BUSINESS AND PROFESSIONAL WOMEN’S
WOMAN OF ACHIEVEMENT AWARD
Please refer to the attached instruction sheet prior to
filling out this form.
If this form does not provide enough space, the information
may be typed
on a separate sheet of paper(s), but keep the information in
the order it is given on this sheet.
1. Name of Nominee
__________________________________________________________
Address
__________________________________________________________________
Phone numbers Home _______________ Work
_______________Cell ______________
Email Address:
____________________________________________________________
Web Site Address:
__________________________________________________________
2. Submitted by
______________________________________________________________
Address
__________________________________________________________________
Phone numbers Home _______________ Work
_______________Cell ______________
Email Address:
____________________________________________________________
3. Occupation of Nominee
______________________________________________________
___________________________________________________________________________
a.
Former Occupation
____________________________________________________
_____________________________________________________________________
4. Areas of Service
____________________________________________________________
a.
Elevating the standards for women in business and
professions ________________
b.
Promoting the interest of business and professional
women and extending opportunities:
________________________________________________________
c.
Advancing women’s place in business and the professions
by bringing about a spirit of cooperation either through
education or politics. ___________________________
d.
To advance the cause of women through public service.
_______________________
5. Brief Biographical Sketch
____________________________________________________
6. Club Affiliations and Organizations:
____________________________________________
7. Educational Background:
_____________________________________________________
8. Outstanding Achievements:
___________________________________________________
9. Attach Photo, 3x5 Glossy, Suitable for
Newspaper Publicity and/or posting to the BBPW Web site.
Digital images in a PC format, high quality, .tiff or .jpeg
will be accepted.
10. Letters verifying works, appreciation, etc. Please
limit to three and attach to entry blank. Indicate names
of those writing letters on lines below.
