Her Voice: Nominate

PAI’s #HERVoice Campaign Nomination Form

PAI is raising up and thanking the inspiring women who are refusing to be silenced and securing a world where the sexual and reproductive rights of every person is respected and protected. Whether these women are on the frontlines fighting for policy changes on a broad level or making a difference in the life of one person, their voice propels our movement forward. You can nominate a woman of your choosing to be the next person featured in PAI’s #HERVoice Campaign! Just fill out the nomination form below.

Nomination Form

Nominee Name(Required)

Photo

Accepted file types: jpg, jpeg, png, Max. file size: 3 MB.

Optional. For best results please use a square profile picture (just the nominee shown).

Nominee Email

Optional. We will notify her with a copy of your nomination.

Tell us why you are nominating her. How has she inspired and empowered you or made a difference?(Required)

Your Information

First Name(Required)

Last Name(Required)

Email(Required)

Affiliation with your nominee or your organizational affiliation

e.g.: Organization, daughter, 1st grade student etc

Her Voice: Nominate

PAI’s #HERVoice Campaign Nomination Form

Nomination Form

Your Information

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