AAUW State Named Honoree Nomination Form

INSTRUCTIONS:

The AAUW of VA Named Honoree award honors those who have made exceptional contributions to furthering AAUW’s mission and priorities statewide.

The nominee may be an AAUW of Virginia member whose actions have had statewide impact by providing outstanding service or exceptional contributions to AAUW of Virginia. The committee may also consider a non-member, branch, or organization that has provided exceptional service to the state in furthering the mission and priorities of AAUW of Virginia.

Detailed information must be presented with the nomination that substantiates the contribution and service of the nominee.

Nominations may be made using the form below.

Nominations must be received by NOVEMBER 15, 2021.

2021 State Named Honoree Nomination Form

PLEASE CHECK ONE:

This nomination is for

An AAUW of Virginia member

An AAUW of Virginia branch

An individual, not an AAUW of Virginia member

An organization

If the nominee is an AAUW Member, please provide:

First and last name

Member of which AAUW of VA branch/es

Approximate number of years as an AAUW member

Branch offices held (and approximate dates)

If nominee has been an AAUW of VA state board member, positions held and approximate dates

If the nominee is an AAUW of VA branch:

Name of branch

If the nominee is an Individual who is NOT an AAUW member, please provide:

First and last name

Brief description of this individual’s connection to AAUW

If the nominee is a Non-AAUW Organization, please provide:

Name of organization

Brief description of this organization’s mission and connection to AAUW

THIS SECTION APPLIES TO ALL NOMINEES: Explain why this nominee should be selected as a Named Honoree. In your response, indicate how this nominee has provided outstanding or exceptional service to AAUW of VA, furthering AAUW’s mission and priorities statewide (not just in a branch or local community), including specific, detailed examples of contributions.

Nominator information

Branch or individual making nomination

If nominator is a branch, provide contact name

Contact email and phone for nominator

If nominator is an individual, provide AAUW branch

If you have questions or need additional information, contact Caroline Pickens at carolineaauw@gmail.com