Nomination Form

The CAAWS MIW List recognizes women who were
influential leaders in the 2012 calendar year.


Name of nominee:
Hometown or residence:
Explain why she is an influential woman in 2012
Provide a brief summary of 2012 accomplishments (200 words).
If available, provide links to any profiles, media, etc. about the person being nominated.
Is nominee an:
(check one or more)
athlete
coach
doctor or health professional
educator (teacher or professor)
member of media
official
politician
sport or physical activity adminstrator
volunteer

Other (please explain)

Contact information
for the nominee:
email:
telephone:

Contact information from the person making the nomination:
name:
email:
telephone:
Anti-spam question #x#
Enter the estimated length of the red bar below

1102030405060
 

Deadline for nominations is Friday, December 7, 2012

 


Canadian Association for the Advancement of Women and Sport
N202 - 801 King Edward Avenue
Ottawa, ON, Canada
K1N 6N5
Phone: 613-562-5667
Fax: 613-562-5668
Email: caaws@caaws.ca