Sojourn Leadership & Justice Academy Nominations 2023

Nominator Information
Tell us about you.
Name
First Last
Phone
Email
YW RELATIONSHIP
- Circle of Influence (past Women of Influence honoree)
- Board of Directors
How are you connected to YWCA Dayton?
HOW DO YOU KNOW THE NOMINEE?
DESCRIBE HER COMMITMENT TO THE YWCA MISSION OF ELIMINATING RACISM AND EMPOWERING WOMEN.
DESCRIBE HER DESIRE AND/OR POTENTIAL FOR LEADERSHIP AND CIVIC ENGAGEMENT.
WHAT MAKES YOUR NOMINEE A STRONG CANDIDATE FOR THIS PROGRAM?
NOMINEE INFORMATION
Tell us about her.
Name
First Last
Employer
Title
Business Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Business Phone
Home or Mobile Phone
Business Email
Personal Email
Date of Birth
MM slash DD slash YYYY
Ethnicity (optional)
- Asian
- Black or African-American
- Caucasian
- Hispanic
- Native American
- Other
File
Drop files here or

Accepted file types: jpg, pdf, png, doc, Max. file size: 2 MB, Max. files: 3.
Please feel free to upload any additional documentation to help us get to know your nominee (resume, bio, etc.). Don't have one? No worries; we'll ask the nominee to provide it herself during the application process.

Nominator Information