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PO Box 6104 - Stateline NV 89449 - soroptimistslt@gmail.com

RUBY AWARD NOMINATION 

The Soroptimist Ruby Award honors women who, through their professional or personal efforts, are making extraordinary differences in the lives of women or girls. Honorees are women who have worked to improve the lives of other women or girls. Their work has had a significant impact, and also inspires and encourages other women.

Nominee Name ___________________________________________

Nominee Mailing Address_________________________________________________________

Nominee Phone Number ________________________

E-mail Address ________________________________

Please include a statement (no more than 750 words) describing why you (if you are nominating yourself) or your nominee (if you are nominating someone else) should receive the Soroptimist Ruby Award. (Note: it is necessary to get the written permission of the nominee. See below.) 

I consent to my nomination for the Soroptimist Ruby Award and to the accuracy of the information contained in this nomination form. I understand that my application and supporting information become the property of Soroptimist International of South Lake Tahoe upon submission, which shall have sole discretion in using these materials for the purpose of publicizing the Ruby Award program. 

Nominee Signature __________________________

Date ________________________

For additional information, please contact Louisa Boone at princesslt82@yahoo.com or (530)208-8390.