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HERstory Nomination Form

  1. Tell us about yourself!

    Thank you for your interest in participating in Naper Settlement's HERstory campaign. Please share some basic contact information with us so we can update you on your nomination and the exciting events and programs planned for the HERstory campaign.

  2. My Contact Information

  3. How did you hear about HERstory?

    Please check all that apply.

  4. Nominee's Contact Information

    If the same as above, please keep blank.

  5. What is your HERstory?

    Submit your HERstory of overcoming obstacles, showcasing leadership, and empowering others, or nominate a female that inspires you to be recognized. Nominations can be uploaded in written format (250 words maximum) or share the URL to a one-minute YouTube or VImeo video.

  6. Please tell us about your HERstory in 250 words or less.

  7. Upload your video to YouTube or Vimeo and enter the URL in the form below.

  8. Rules

  9. NO PURCHASE OR PAYMENT OF ANY KIND IS NECESSARY TO ENTER OR WIN. By participating, each entrant grants Naper Settlement permission to use his/her name, likeness or comments for publicity purposes without payment of additional consideration, except where prohibited by law. By entering, entrants represent and warrant (i) that they own the video submitted, and (ii) it does not violate the rights of any third parties. No lewd, nude, crude, or offensive content (as determined by Naper Settlement) in its sole and absolute discretion) will be accepted. Naper Settlement reserves the right in its sole and absolute discretion to disqualify any entry. Naper Settlement is not responsible for lost, late, or misdirected entries, printing errors, server unavailability, computer, or any other electronic malfunction. By entering this contest, each entrant waives any and all claims of liability against Naper Settlement, affiliates, officers, directors, employees and agents, for any and all claims, loss, damage or injury which may occur as a result of entrant’s participation in this contest.

  10. Leave This Blank:

  11. This field is not part of the form submission.