Nominate a 2027 ATX Woman of Impact
Your name
First Name
Last Name
Your phone number
Please enter a valid phone number.
Format: (000) 000-0000.
Your email
example@example.com
Your relationship to the nominee
Friend
Colleague
Family member
Community connection
Other
How long have you known the nominee?
Nominee prospect name
First Name
Last Name
Nominee prospect phone number
Please enter a valid phone number.
Format: (000) 000-0000.
Nominee prospect email
example@example.com
Nomination Questions
Why do you think this prospect would make a strong Woman of Impact nominee?
Examples: leadership, passion for mission, influence, fundraising ability, personal connection to heart health, etc
Has this person been involved with the American Heart Association before?
Yes
No
Not sure
Why do you think this person would say “yes” if invited?
Does this nominee have access to a network they could engage for fundraising or awareness?
Yes
Somewhat
Not sure
Submit
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