Women’s Resource Center in Alamance County Founders’ and Rising Star Award Nomination Form

Nomination Deadline: 9/30/2019

Nominee Name:

Award nominated for (check one): Founders’ Award Rising Star Award

Employer/Organization:

Address:

City: State: Zip:

Phone: Email:

Nominator Name:

Address:

City: State: Zip:

Phone: Email:

The letter(s) of support should describe and provide examples of the attributes and accomplishments of the

nominee in the following areas, as related to their professional and volunteer pursuits:

Mentorship

Community Development

Philanthropy

Business

The attached table provides examples of attributes and accomplishments for each category. These examples are

not intended to be an inclusive list. In addition, discuss briefly any additional accomplishments and considerations

that support this nomination.

For Rising Star Award nominees only, please confirm the nominee will be under 40 years of age on 11/7/19:

___Yes ___No

Nominator Signature Date

Please send this form, along with the letter(s) of support, nominee’s resume, and completed nominee

questionnaire to Susan Watson at:

swatson@wrcac.org

or

411-B West Fifth St.

Burlington, NC 27215

Completed nomination packets must be received by 9/30/19.

As a professional (paid position in the for-profit, not-for-profit, and/or non-profit sectors):

As a volunteer (unpaid and unrelated to primary job):

Mentoring: Provide specific examples

of how the nominee has demonstrated support to

local women in developing leadership and

business potential, community involvement,

and navigating life.

Creates and implementsinnovative programming as anemployee of a mentoringorganization

Actively develops women withintheir workplace or theirorganization

Volunteers with mentoringorganization

Actively develops women withintheir workplace or theirorganization

Involved informally in providingwomen guidance in navigating life

Encourages women to participateand be involved in their localcommunity and in organizationscommitted to improving theirlocal community

Community Development: Describe involvement in

local community. Include length of service and

offices held in civic organization, charitable

activities, political pursuits, chambers of

commerce, etc.

Within the scope of a job,creates and implementsinnovative programming thatdevelops and improves the localcommunity (plan andimplement community-widefundraiser for a non-profit orcharitable foundation)

Receives awards and/or honorsfor special accomplishments,publications, or service to theircommunity within the scope of ajob

Volunteer involvement in acommunity-wide program orinitiative that strengthens thecommunity

Membership on non-profit boardof directors for an organizationbenefitting the local community

Membership and/or participationin an organization benefitting thelocal community

As an elected official, committedto and engaged in promoting anddeveloping the local community

Business contributions: Describe special

recognitions, projects, and achievements;

include business-related affiliations, directorships,

trusteeships, or other designations.

Receives awards and honors forspecial accomplishments,publications, or service to theirprofession or industry.

Philanthropy: Describe donations of

time, materials and/or monetary resources that

benefit the Alamance County community.

Within the scope of a job, plansand implements programmingand initiatives that raise fundsto support and improve thelocal community

Provides leadership in anorganization committed toenriching and benefitting thelocal community (serve on boardof directors, chair committees,etc.)

Contributes time, material orfinancial resources to anorganization committed tobenefitting the local community