SHERO NOMINATION FORM Question Title * 1. Name and Surname (Nominator) Question Title * 2. Department of Nominator Question Title * 3. Name and Surname (Nominee) Question Title * 4. Department of Nominee Question Title * 5. Did your colleague (nominee) give CPUT her consent to use the information provided to post on Social Media Yes No Question Title * 6. Designation of Nominee Question Title * 7. Nomination (maximum 850 characters) Question Title * 8. Please attach a picture of the nominee when submitting this nomination. 100% of survey complete. Done
