Youth Ecopreneur Awards - Nomination Form

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* 1. Please share with us your name and your email adresse

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* 2. Type of organization submitting the nomination

UN Agency/International Organization

Private Investor

Bank/Development Bank

Accelerator/Incubator

Private Government; Foundation

NGO

Private Sector Company

Individual

Other (please specify)

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* 3. Please share with us the name of the company you think should apply for the Youth Ecopreneur Awards

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* 4. Please share with us the name and the email adresse of the main contact person

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* 5. Which category fits the nominated venture?

Waste

Water

Energy

Other (please specify)

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* 6. Please shortly describe the environmental impact the company is having and how the solution promotes renewable energy, and energy efficiency, and/or reduces and recovers waste and/or ensures efficient use of water.

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* 7. Please share with us why you believe this company would deserve to received the Youth Ecopreneur Award

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* 8. Please share your relationship with the nominated venture

Investor

Partner

Board member

Technical assistance provider

None

Other (please specify)