Nomination form

* 2. Contact details of the person nominating:

* 3. Contact details for the Inspirational Woman nominated:

* 4. Please provide as much detail as possible about the person you have nominated:

(Minimum 100 words, maximum 500 words)

* 5. Please describe why you are nominating this woman for the specified award.

Please send any supporting documents to 

The deadline for nomination submissions is Sunday 19th February,