EmailMe Form - USWT Ambassador Award Nomination

USWT Ambassador Award Nomination

The Ambassador Award is the highest recognition the United States Women of Today may bestow on a local member. A nominee must have membership in WT for a minimum of five (5) years in order to be eligible.

Additionally, you will need to send two (2) letters of recommendation, one from local chapter and one from state, as well as send a check for $65.00 made payable to USWT Ambassadors.

Upon approval of the Ambassador Review Committee, notification, pin and plaque will be sent to the person submitting the nomination at the address listed.

This form requires the signature of the nominator, Local President and State President; be sure that all are present when completing it. Signatures can be done by your mouse, or your finger on a writable screen. Note: a current USWT Ambassadors may submit the nomination and does not need the signature of the Local or State Presidents.

Responses to the online form will be viewed by the USWT Ambassadors Committee. Fill in as much information as you know. Upon completion of the form, click Submit; you will receive a confirmation screen if your form has been successfully submitted. Submit at least six weeks prior to presentation. (rev 2021)

Your Email *
Date Submitted *
MM / DD / YYYY
Nominee Information
Nominee Name *
First Last
Nominee Email
Phone
### - ### - ####
Address

Street Address City State / Province / Region Postal / Zip Code
State *
Other State
If you are a member of a state organization not listed, please enter your state.
District Number *
Since you entered that you are from MNWT, please supply your district number
Chapter *
Joined Date *
MM / DD / YYYY
Enter the date that the nominee first joined Women of Today
Marital Status
Enter if applicable
Significant Other's Name
Enter if applicable
Name & Ages of Children or Dependants
Enter if applicable
Occupation
Enter if applicable
When would you like the presentation made?
Name as it should read on the plaque
Nominator Information
Nominating Chapter *
Enter the name of Nominating Chapter or other Representative
Nominator Name *
First Last
Enter the name of Nominating Chair or Local President
Nominator Email
Phone
### - ### - ####
Address

Street Address City State / Province / Region Postal / Zip Code
Nominator Signature *
Clear
Endorsement by Local President or Current USWT Ambassador: By signing this, you hereby attest that you endorse the nomination of the above-named nominee.
Local President Signature
Clear
Endorsement by local chapter president (if different from nominator, and not needed if nominated by another USWT Ambassador): By signing this, you hereby attest that all information provided in this nomination is reliable and true to the best of your knowledge
State President Signature
Clear
Endorsement by state president: This should be done by a current state officer, preferably the President (if different from nominator, and not needed if nominated by another USWT Ambassador). By signing this, you hereby attest that your state endorses the nomination of the above-named nominee
Participation Information
Meeting Attendance: a minimum of 50% meetings must have been attended since nominee joined *

Number Held Number Attended

Local Chapter Meetings

State Meetings

National Meetings

Other Meetings
State Meeting Explanation *
List state meetings attended and dates; as well as the meeting participation: attendance as general member or board member
Meeting Other Explanation *
Since you enter a number in Other above, please describe the other meetings attended (i.e., District, Area, Regional)

Leadership: if none held in something below, enter "N/A" as all fields are required *

	Position	Dates Held
Local offices held by nominee
List major local chairmanships of projects, programs and/or standing committees held by nominee
List state offices or program manager or director positions the nominee has held
List state committees on which the nominee has served
List national offices or program manager positions held by nominee
Other

Leadership Other Explanation *
Since you enter a number in Other above, please describe the other leadership roles held by nominee
What lasting and unique contributions did the nominee make to the development of her LOCAL chapter? *
Consider chapter management, membership, internal or external programming, new projects or improvements to the local chapter initiated by the nominee
What lasting and unique contributions did the nominee make, and/or how has she utilized the opportunities provided by the STATE organization? *
If she was a state officer or program manager, what were her contributions? How did she involve people in the state organization, meetings and programs?
How has the nominee utilized the opportunities provided by the NATIONAL organization? *
Summary Statement *
Please make a final summary statement clarifying why your chapter feels that this Woman of Today is an Ambassador.
File Upload

Add File

You may attach the two (2) letters of recommendation, one from local chapter and one from state

	Number Held	Number Attended
Local Chapter Meetings
State Meetings
National Meetings
Other Meetings

Nominee Information

Nominator Information

Participation Information