WOF Nomination Form

Please read the detailed documentation on the categories, eligibility, selection committee and nominations before filling in the nomination form: View Document

NOMINEE INFORMATION

Category

Name of nominee

First Name

Last Name

Nominee's Email

Nominee's Phone #

(###)

###

####

Between what years was/is the nominee active?

Name of organization(s) with which the nominee was/is affiliated

(optional for Arts and Culture category)

Nomination summary

125 words or less (summary of nomination including how the individual meets selection criteria)

Accomplishments

(Point form preferred - includes statistics, awards, medals, records, legacy, recognitions, acknowledgments, etc.)

NOMINATOR INFORMATION

Nominator's Name

First Name

Last Name

Nominator's Email

Nominator's Phone #

(###)

###

####

REFERENCE INFORMATION

Please add up to two if applicable

Reference #1 - Name

First Name

Last Name

Phone

(###)

###

####

Reference #2 - Name

First Name

Last Name

Phone

(###)

###

####

WOF Nomination Form

IMPORTANT LINKS

GET IN TOUCH

A healthy, inclusive & thriving
Chelsea Community.

WOF Nomination Form

IMPORTANT LINKS

GET IN TOUCH

A healthy, inclusive & thriving Chelsea Community.

A healthy, inclusive & thriving
Chelsea Community.