WOD Nominee Form

    Contact Information

    Contributions to Community

    Please describe three (3) contributions to the Martin County community that you have made. (Maximum 750 words)

    Awards Received

    Please list any awards, recognition or tributes you have received for your contributions in the community, your business, or both:

    Professional Organizations

    Starting with the most recent, please list at least three (3) community, civic and/or professional organizations with which you are or have been associated during the past ten (10) years: (Maximum 500 words.)

    Important information for nominee: Soroptimist International of Stuart reserves the right to place you in another category if your qualifications and community contributions fit more appropriately into another category. You and your nominator will be notified of the change.

    Soroptimist International of Stuart reserves the right to disseminate and utilize your photograph for public relations purposes. By submitting this form, you are acknowledging your agreement to the use of your photograph.

    Note: No materials in addition to the Nominator's Form or Nominee Profile Form will be considered. Please double-check the information provided and email to [email protected].