North Carolina Council for Women
Distinguished Women of North Carolina Award
Nomination Form
(Please print or type)
The Distinguished Women of North Carolina Awards are sponsored by the North Carolina
Council for Women to recognize North Carolinians who have attained outstanding levels of
achievement and whose contributions have made a significant impact upon the lives of our
citizens. For a list of previous recipients you may contact the Council for Women Office at 7332455 or by e-mail at Peggy.Alexander@ncmail.net or by fax at (919) 733-2464.
Name of Nominee:
Home Address:
City/State/Zip:
Home Phone:
Work Phone:
Occupation/Employer:
Business Address:
City/State/Zip:
Home Phone:
Work Phone:
Nomination submitted by:
Organization (if any):
Address:
City/State/Zip:
Home Phone:
Work Phone:
Signature of nominator:
Please attach two non-returnable black and white or color photos of the nominee to this page
only. Passport photos are accepted. Photos may not exceed 8”x10”.
Submit nominations to:
Selection Committee
NC Council for Women
1320 Mail Service Center
Raleigh, NC 27699-1320
for hand-delivery
NC Council for Women
526 N. Wilmington Street
Raleigh, NC 27604
All nominations must be postmarked by January 15. No late nominations will be accepted .
DESCRIPTION OF CATEGORIES FOR NOMINATION
The Arts Award recognizes significant contributions to the visual, literacy, cultural or performing
arts, media, communications or to an organization which promotes artists, art programs or historic
preservation.
The Business/Professions Award recognizes excellence in a professional field. The nominee may
have excelled in her profession through research, innovation or individual performance. The
nominee may be retired, self-employed, working in the private or public sector.
The Education Award recognizes outstanding contributions in the field of education through
teaching, administration, research and/or participation in professional education associations.
The Government Award recognizes the accomplishments of the nominee which have enhanced the
quality of life for both the citizens and the community. The nominee may have worked in
international, federal, state or local government as an employee or an elected/appointed official.
The Journalism Award recognizes the female, print journalist whose contributions and acheivements
in covering women’s issues and events are considered outstanding. Nominees may write for either a
newspaper or magazine in either a staff or freelance capacity.
The Volunteerism Award recognizes significant contributions made to the community through
devotion of time and energy, with the goal to improve and enhance the lives of citizens as a
volunteer.
The Jean Nelson Award recognizes outstanding contributions for the betterment of women in North
Carolina and the best overall work in promoting and carrying out the purpose and mission of the
North Carolina Council for Women.
OFFICIAL RULES
Eligibility: The nominee must be a native of North Carolina or current resident. Former nominees
are eligible. Former winners are prohibited. Nominations are encouraged from any individual or
organization.
Selection Process: All nominees are judged on the following criteria: demonstrated excellence in
her performance; made significant contributions in her award category; made major contributions
that will have continuing impact in the community at large; shown leadership through motivating
others; and opened opportunities for women.
There are seven categories of nominations. Each nominator is limited to one nomination per
category. It is possible that the nominee may qualify for more than one category. The nominator
should select the one most appropriate. The Selection Committee reserves the right to make its own
judgement as to the category to be recognized. The Selection Committee chooses one winner for
each category.
Periodically, a Public Service Award is presented to a nominee who has made significant and
outstanding contributions in a majority of the categories. Nominations are not accepted for this
award. The Selection Committee reserves the right to select the recipient. All decisions are final.
Check One:  Arts
 Government
 Jean Nelson
 Business/Professions
 Journalism
 Education
 Volunteerism
INSTRUCTIONS
Please type or print biographical information in the space provided. Use the front and back of
this form only. Do not affix or attach any additional papers, resumes, vitas or pictures to this
page. DO NOT USE THE NAME OF THE NOMINEE. The term “nominee” may be used to
refer to the candidate. Nominate only one candidate per form.
Please address the criteria of the category of nomination. Supporting information should include
club and professional affiliations, offices held, community activities, professional and academic
achievements, special awards, honors, hobbies and special interests.
Briefly explain or describe why your nominee should be awarded the Distinguished Women of
North Carolina Award using the following criteria.
a. Demonstrated excellence in her performance.
b. Made significant contributions in her award category.
c. Made major contributions that will have continuing impact in the community at large.
d. Shown leadership through motivating others.
e. Opened opportunities for women.