Home Sponsors Past Honorees Nomination FormDeadline for nominations is Sept 1st, 2023 FWLF Nomination Form Date Full Name Phone Email Address IS YOUR NOMINEE AWARE OF THIS NOMINATION? IS YOUR NOMINEE AWARE OF THIS NOMINATION? Yes - Nominee is aware of the nomination No - Nominee is not aware of the nomination Nominee's Name Nominee's Phone Number Nominee's Email Company Name - If applicable Title - If applicable Second Reference for Nominee Email of person confiming nominations credentials Phone of person confiming nominations credentials Information that applies to nominee Information that applies to nominee LIVES/LIVED IN FULLERTON WORKS/WORKED IN FULLERTON VOLUNTEERS/VOLUNTEERED IN FULLERTON ATTENDS/ATTENDED SCHOOL IN FULLERTON Describe how the Nominee has shown leadership and inspired others: Describe how the Nominee has made a difference in Fullerton: What additional factors make the Nominee deserving of the Women in Leadership Award: Submit your Nomination