Nominate a Trendsetter

Use the form below to submit a nomination.

Please ensure you review the criteria before proceeding.

 

Fields marked with an * are required

NOMINATOR INFORMATION

Tell us about yourself.

 

Please note that a single award is given for each award category.


NOMINEE INFORMATION


By submitting this nomination, you are acknowledging that WomenActive-NS may share nominee information with the public and program sponsors, and that this information may be used for other related marketing and promotional purposes by WomenActive-NS.


Nominations are accepted from anyone, including a person who is part of a team being nominated.


For program, group, organization, and/or facility nominations, please provide information on one individual who will represent the group, organization, or facility.


List 2 individuals who can verify the information being submitted as part of this nomination is accurate and without embellishment.

Individuals may be contacted for verification.

 

Person #1

Person #2