Your Name *

Your email *

Nominees Email *

Nominee's Name *

Nominee's Social Media Handles *

To tag them in features, if applicable

Website, Business, or Initiative

Only if applicable

Why are you nominating this person? *

How has she inspired you or others?

Does the nominee run a business or community?

Yes

If yes, provide more details

Remain anonymous?

Yes

Upload a Photo of the Nominee *

How did you hear about the She Squad? *

I confirm that I have the nominee’s permission to submit this nomination and for their story to be shared by Concihairge if selected. I also agree to be contacted by Concihairge regarding this nomination.