Uptick Baptist Women Nominator's Form

Use this form to nominate a young women leader for the upcoming calendar year. All nominations are due by August 15 each year.

"*" indicates required fields

Nominator's Full Name*

First Last

Nominator's Church*

Nominator's Email Address*

Nominator's Phone*

Candidate's Full Name*

First Last

Candidate's Email Address*

Candidate's Phone*

Candidate's Birthday*

Candidate attends this CBOQ church*

Give name of church + address

Candidate's education and major*

How long have you known the candidate?

Share 1 - 2 examples of the candidate's leadership in action that you have seen, and how you have seen her begin to grow and use her gifts as a Kingdom LEADER

Share those examples here.

Please provide 1 reference person (other than you) and that person's contact information. (That reference could be a pastor, co-worker, ministry leader.)*

Name of second reference | Email Address | Phone

Would you like to receive our monthly newsletter - the ELINK?*

Let us know if you'd like to receive regular updates about our resources and our work.

Date