SHE ROSE NOMINATION - Who’s your hero? (PS, it totally can be yourself!)

Nominator Name

First Name

Last Name

Nominator Email Address

Phone

(###)

###

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Subject

Name of Nominee

If same as above, leave blank

First Name

Last Name

Age of Nominee

Place of Residence

Why Should This Person be Nominated?

Please write a short summary of their story of overcoming.

What would their superhero potentially look like?

This is a place to throw out some ideas! What powers would they have? Are they vibrant in color? Hot or cold? Daytime or nighttime? What might they wear that is a great representation of them?

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She Rose Nomination Form