Women Making a Mark nomination form

The Women Making a Mark program celebrates the contributions and successes of women in metro Atlanta who have made a significant impact in our community. These honorees are committed to their profession, their community, and to helping Atlanta and its citizens. They exhibit tireless dedication, strong leadership, and impassioned goodwill. Past honorees make up a diverse group of business executives and owners, entrepreneurs, Supreme Court judges, doctors, lawyers, philanthropists, mayors, senatorial candidates, nonprofit leaders, and community volunteers.

If you know a woman worthy of being honored through this program, nominate her today.

Women Making a Mark Nominations

Contact Information for person making nomination
Name*
First Last
Phone*
Email*
Nominee contact information
FOR EDITOR USE ONLY
Name*
First Last
Phone
Email
Answer the questions below to the best of your abilities in regards to the person you would like to nominate. Please keep responses to no more than 150 words per question.
Nominee's Date of Birth
How would you categorize the nominee's professional field (choose one)?*
- Law
- Business/Entrepreneurial
- Nonprofit
- Medicine/Health Care
- Arts
- Education
- Technology
- Political
- Rising Star (Must be a full-time student, 16 years and older)
List the company/organizations with which the nominee is involved.*
Describe the innovative aspects of the nominee’s work with the project, program, or business.*
Describe the impact/results the nominee’s contributions have had on the community through her involvement with the company or organization.*
What special qualities or characteristics make this nominee’s contributions unique?*
List two to four references who can speak to the nominee’s work and contact information for each.*
Comments
This field is for validation purposes and should be left unchanged.