2018 Nomination: Vote Now

Now accepting Nominations through 2/21/2018.

Please answer the following questions to determine if your nominee meets the initial criteria for the 2017 Wings Award.

Questions marked with * indicate required questions that cannot be left blank.

Is the nominee a breast cancer patient or survivor? *

Nominee MUST be a breast cancer survivor or current patient to meet criteria. Click here to return to the home page.

Residence of Your Nominee *

Nominee MUST be a resident of USA to meet criteria. Click here to return to the home page.

Please enter the following information for the person you are nominating.

Is nominee? *

First Name Of Nominee *

Last Name Of Nominee *

Nominee Address 1 *

Nominee Address 2

Nominee City *

Nominee State *

Nominee Zip Code *

Nominee Phone Number

E–mail Address: *

Please enter the following information so we may contact you if needed.

Your First Name *

Your Last Name *

Your Address 1 *

Your Address 2

Your City *

Your State *

Your Zip Code *

Your Phone Number

Your E–mail Address *

What year was nominee diagnosed with breast cancer? *

How has the nominee exemplified courage and determination through their cancer journey? *

Example: Positive attitude, actions, overcome adversity or obstacles

How has the nominee lifted up others contrary to their own diagnosis? *

Example: Have they given back to the community through volunteerism, teaching, mentoring, or comforting others?

Please explain your connection with the nominee. *

Enter the code *


Thank you to our Sponsors of the WINGS Award!