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Ballarat's Great Women nomination form

Amongst Ballarat’s Finest profiles the stories of 113 local women and their contribution to Ballarat. The women were nominated by their own community as women they believe should be recognised for their civic and political contribution to Ballarat. Relatively few of these stories are recorded in any other form, due largely to the women’s modest and humble nature, this book seeks to recognise them. "The great women we know of don’t usually see themselves as extraordinary, they often just do what they think is the right thing to do" said Ms Patty Kinnersly, WHG CEO.

Amongst Ballarat’s Finest was launched at the Zonta International Women’s Day Dinner Thursday 6 March 2008.

Women's Health Grampians will continue to celebrate the contribution of women through an ongoing nomination process and celebrating these nominations annually.

Click on these links to see examples of stories from Amongst Ballarat's Finest.

Amy M. Young
Diana Nikkelson
Tara Pearson
Sulaika Dhanapala
Paula Pither-Mills

Copies of the book can be purchased from the Ballarat office for $15.00.

My Details
Full name:
Address:
Town:
Postcode:
Phone:
Mobile:
Email:
Details of the person I'm nominating
Full name:
Address:
Town:
Postcode:
Phone:
Mobile:
Email:
We are required to contact the nominated woman or a family member to obtain final consent for publication. Please select one option below.
I agree to represent the nominated woman to provide further information, edit and approve the final story for printing and provide a photograph. Please contact the nominated woman for further information, editing and approval of the final story for printing and to provide a photograph. Neither myself or the nominated woman (ie they are deceased or unable to do this) can be the contact person. Please provide details below of the third party who can be contacted for this.
Details of the third party to be contacted (if applicable)
Full name:
Address:
Town:
Postcode:
Phone:
Mobile:
Email:
Nomination Story
Woman's name:
Woman's Date of Birth:
	A few words or a statement that captures this woman's contribution (i.e. ‘teacher’, ‘campaigner’, ‘providing support for those in need’)

	250 words (approx 1750 characters) telling us about this woman's contribution:
	Include: Brief overview of the woman’s story such as where they grew up, went to school, tertiary education, early employment. Overview of what she has contributed and how. A quote from the nominator ie Service to the community A quote from the woman (or nominator) about the difference the woman has made or why she was involved ie It’s not only what you give people, it’s what you receive back. You get a lot of happiness performing for people. characters remaining
	A good quality head and shoulders photograph of 300 dpi and 10x15cm in size needs to be submitted with each nomination. Please refer to the profiled stories for examples. This can be emailed directly to adminb@whg.org.au or provided in hard copy to the WHG office at 2 Drummond St Sth, Ballarat 3350
Women's Health Grampians holds the copyright to all stories submitted and stories may be published in a number of ways that are considered appropriate by Women's Health Grampians.