Women's History Trail Nominations

Note: all information given will be posted on a public response page unless otherwise noted.

About the historic woman you are nominating:

Name of historic woman you are nominating: (Required)

Date and place of birth:

Date and place of death:

Occupations, fields of achievement, or titles: (Required)

For what achievement is she best known?

Why are this woman's achievements significant in Indiana History? (Required)

If a site is connected to the history of the nominee, please answer the questions below.

Site name (for example, home of Mary Jones, Town of Dublin; Indiana State House):

What connects her to this site? (for example, it was her childhood home; there is a plaque to honor her; there is a permanent exhibit of her work)

Site location (street address):

Site location (city/town):

Site location (township):

Site location (zip code):

Site location (county):

Site ownership (permission is needed from owner of private site):
List owner's name, telephone, email, and address if different from site address (not publicly displayed)

Site Availability

Open to public?
Yes
No

Open by appointment?
Yes
No

Is site visible from the street if not open to the public?
Yes
No

For current information about the property, contact: (not publicly displayed)

Second site

If only one site is associated with the woman, leave this section blank.

Site name (for example, home of Mary Jones, Town of Dublin; Indiana State House):

What connects her to this site? (for example, it was her childhood home; there is a plaque to honor her; there is a permanent exhibit of her work)

Site location (street address):

Site location (city/town):

Site location (township):

Site location (zip code):

Site location (county):

Site ownership (permission is needed from owner of private site):
List owner's name, telephone, email, and address if different from site address

Site Availability

Open to public?
Yes
No

Open by appointment?
Yes
No

Is site visible from the street if not open to the public?

Yes
No

For current information about the property, contact:

If an event is associated with the woman nominated, please complete the questions below.

Name of event (for example, site of first women’s rights convention):

Date of event:

Major organizations/groups involved in event:

Significance of event:

What connects the event to this site? (for example, it was held in this town and there is a historical marker there to commemorate it.)

Second Event

If only one event was associated with this woman, leave this section blank.

Name of event (for example, site of first women’s rights convention):

Date of event:

Major organizations/groups involved in event:

Significance of event:

What connects the event to this site? (for example, it was held in this town and there is a historical marker there to commemorate it.)

Other Associations

Description of association (for example, women’s club, company
employing women, publication by/for women)

Date(s) association:

Significance of association:

Sources For Documentation

Please list the sources you used to prepare this form, especially the significance of the site and its relationship to women’s history. Please note the institution or other location where sources are available.

Upload any documentation files:


Upload any images associated

Your address:
(Required) not publicly displayed

Your zip code: (Required) not publicly displayed

Your telephone number: (Required) not publicly displayed


Survey created and managed using the Survey Builder, one of the tools from the Roy Rosenzweig Center for History and New Media