Women of Distinction Nomination Forms

Deadline: Monday, September 21

Conference: October 23 and 24, 2009

GRADUATE STUDENT

Each year at the Women's Leadership Conference, Georgia Tech honors a graduate student who demonstrates exemplary leadership abilities. She leads with heart, creating innovative solutions, while inspiring and uplifting the entire Georgia Tech Community.

The Women's Leadership Conference is seeking to honor a female leader who awakens the passion for success of those around her. She encompasses the ideals of a successful leader, radiating a demeanor that compels others to do the same.

NOMINEE INFORMATION:

Nominee:
Cumulative GPA:	Academic Major:
Enrollment Date:	Expected Graduation:
Other Awards Received:
Phone Number:	Email Address:

IN 500 WORDS OR LESS, PLEASE ADDRESS THE FOLLOWING QUESTIONS:

What distinguished achievements has the nominee accomplished in or outside of Georgia Tech?
How have these achievements impacted and inspired you and others?
What long-term effects will these achievements have on the nominee and the Georgia Tech Community?
What unique leadership skills does the nominee possess that set her apart from her peers?
Please describe a situation where the nominee has demonstrated her leadership. If she worked with others, who was involved and what were her interactions with them?
How has the nominee inspired other women at Georgia Tech? How has she motivated other to become actively involved in their field or in their community?
How do they embody the theme of the conference, "Unleash Your Potential. Impact the World"?

**There will be an interview portion to the selection process. We will be informing the nominee of her nomination to schedule an interview time. **If available, please include a copy of the candidate's resume and a recent photograph to be used during the awards ceremony.

Word Count

NOMINATOR INFORMATION:

Name/Organization:
Phone Number:	Email Address: