Nomination Form

Do you know an inspiring woman entrepreneur whose business aligns with purpose, impact, and community service? This is your chance to shine a light on her incredible work! By nominating her for our annual branding grant, you’re giving her an opportunity to expand her reach, amplify her impact, and inspire others to do the same.

Nominee's Information

Nominee's Full Name(Required)

First Last

Nominee's Business Name(Required)

Nominee's Website or Social Media

Nominee's Business Location(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Nominee's Email Address(Required)

Nominator's Information

Your Full Name(Required)

First Last

Your Relationship to the Nominee(Required)

(Friend, Customer, Peer, etc.)

Your Email Address(Required)

Nomination Details

Why do you believe this nominee aligns her business with purpose and impact?(Required)

Describe how the nominee’s business creates social impact and serves the community.(Required)

What makes this nominee stand out as a deserving recipient of the branding grant?(Required)

Supporting Materials

Supporting Documents or Media(Required)

Drop files here or

Max. file size: 128 MB.

(Photos, videos, testimonials, etc.)

Additional Links

(e.g., News Articles, Blogs, or Features about the Nominee)

Consent and Submission

Consent(Required)

I agree to these terms.

By submitting this nomination, I confirm that I have obtained permission from the nominee to share their contact information and details about their business. I consent to being contacted regarding this nomination and understand that the nominee may also be contacted as part of the selection process. I acknowledge that the information provided may be reviewed by the Chicks Who Give a Hoot Board of Directors and used solely for the purpose of selecting grant recipients.

Acknowledgment(Required)

I confirm that the information provided is accurate to the best of my knowledge.