Bold Woman Nomination Form - Girls Inc. Tarrant County

Nominee's Info

Nominee's must live and/or work in Tarrant County.

Nominee's Name

First Last

Nominee's Title / Position

Nominee's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Nominee's Email

Nominee's Phone

Please describe how the nominee has demonstrated courage and a fearless willingness to take risk to create change.

How have her contributions and experiences empowered girls, women, and the community at large?

What voluntary endeavors has the nominee pursued to positively affect the lives of others? (committees or organizations)

Name

First Last

Your affiliation to the nominee

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email

Phone