Nominate

Official Nomination Form

Qualifications

1. Nominee should be a native Arkansan OR have lived in Arkansas at some point in her life for a period to exceed one year of residency;
2. Nominee should be at least 18 years of age;
3. Nominee should be an individual with experience speaking publicly at a state or national level to bring awareness to the problem of child abuse by sharing his/her personal experiences with abuse (may be directly or indirectly affected); and
4. Nominee may be male or female

All applicants will be reviewed by a nomination committee compiled by Children’s Advocacy Centers of Arkansas comprised of its membership and community partners. Applicants may be contacted for an interview during the review process. The Blue Ribbon Award Winner will be selected by Children’s Advocacy Centers of Arkansas or its designated representative. Recipient will be recognized and awarded at the annual Arkansas Woman of Inspiration event to benefit Children’s Advocacy Centers of Arkansas.

Nominee Name:
Nominee Age:
Nominee Occupation:
Awards and Achievements:
Organizational Memberships or Affiliations (corporate and non-corporate):
Other Non-Profit Involvement or Volunteerism:
Contributions for the Benefit of Children:
Please write below a few paragraphs as to why this individual should be considered as the next Blue Ribbon Award winner and how he or she has contributed to the prevention of child abuse or created awareness to the problem of child abuse (use a much space as desired to elaborate on why this individual deserves this recognition):
Name of Person Submitting Nomination Form:
Phone:
Email:
Prove You're not a Robot: