Nomination Form

Information of the Nominator
In this section, please input your information as the nominator. Please note, this section is BOTH for individuals nominating themselves and for those nominating others.

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* 1. First name

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* 2. Last name

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* 3. Title:

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* 4. Name of Organization/Company

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* 5. Address:

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THE INNOVATIVE INITIATIVE OR PROJECTShare with us an innovative initiative or project. Describe why you are nominating it and how their work has significantly advanced progress under the selected category.

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* 6. Name of project/initiative

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* 7. Year established:

Date 

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* 8. Country(/ies):

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* 9. Details of representaitve

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* 10. Website and/or Social Media:

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* 11. Type of Stakeholder

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* 12. Category of Nomination:
Select one of the following options

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* 13. Was this initiative/project nominated for previous EQUALSinTech Awards?

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* 14. Describe the work of the nominated organization, including target audience, major objectives and activities (500 words max)

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* 15. Describe the tangible results of the initiative/project and numbers of women/girls benefitted as a result of these activities (500 words max)

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* 16. Has this work been replicated and scaled? (250 words max)

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* 17. Please describe anything particularly innovative about this initiative/project (250 words max)

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* 18. Please list major partners in this initiative/project

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* 19. Please provide any relevant/related web links (i.e. videos, websites, evaluations, testimonials, etc) for the aforementioned initiative (500 words max)

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* 20. Please provide a picture of the work of the initative/project 

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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No file chosen

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* 21. Please provide a picture of the work of the initative/project

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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No file chosen

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* 22. How did you hear about the EQUALS in Tech Awards?

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