Women Making History Nomination Form 2022

Criteria for Selection

A nominee must be a woman who has demonstrated the following: 

  • Service in her neighborhood, workplace, or community. Demonstrates volunteer work and/or leadership. 
  • Possesses honesty, integrity, and strong moral values. Shows that she “walks the walk." Encourages others to follow moral/ethical values. 
  • A commitment to women’s issues (weighted double when scored). Inspires other women to follow their dreams and a strong voice for women’s advocacy. 
  • A commitment to personal growth and development. May have overcome obstacles, indicates the courage of her convictions, and demonstrates family and/or personal accomplishments. 

Nomination Process

  • Nomination form must be completed and returned by Mon., Nov. 8, 2021 to be considered for the 2022 award. 
  • Nominations must be as complete as possible. Be sure to include information on your nominee’s volunteer activities. 
  • The selection process will be as follows: the Women Making History Committee will select the twelve well-deserving nominees and two alternates.  
  • The women selected will be notified in December 2021. For those not selected, their nominators will be contacted. 


Call Jennie Hagerty at 814-455-4577.

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Nominee Information

List maiden name if applicable



Your Contact Information

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