JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
National Women's Political Caucus of WA Heroine Nomination
Event Timing: Dec. 6 - 11am - 1pm
Zoom RSVP and Questions to
info@nwpcwa.org
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Candidate/Campaign Name
*
Your answer
Position Sought
Your answer
Nominator's name (if different than candidate)
Your answer
Nominator's Email
*
Your answer
Nominator's Phone
*
Your answer
Heroine Name (ATTN spelling, this is how it will be printed on certificate)
*
Your answer
Tell us how your heroine came through for you and your campaign this year. (This should be written as you would like it presented at the event and on their certificate.)
*
Your answer
Heroine's Email (So we can let them know they were nominated and send them the zoom link)
Your answer
Heroine's Phone
Your answer
Will you be able to attend the event?
*
Yes
No
Other:
Required
Will your Heroine be available to be able to attend the event?
*
Yes
No
Other:
Required
Are you a member of the NWPC? Your Heroine will get a free membership but memberships help our all volunteer team provide training and resources to more women to run for office. Please consider joining here -
https://www.nwpcwa.org/membership
Yes
Other:
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
