Nomination Form

Nominator Information
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 (Required.)

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2. Last name (Required.)

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3. Title: (Required.)

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4. Name of Organization/Company (Required.)

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5. Address: (Required.)

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

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6. Name of project/initiative (Required.)

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7. Year established: (Required.)

Date

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8. Country(/ies): (Required.)

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9. Representaitve information (Required.)

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10. Website and/or Social Media:

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11. Type of Stakeholder (Required.)

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12. Category of Nomination:
Select one of the following options
(Required.)

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13. Was this initiative/project previously nominated for an EQUALS in Tech Award? (Required.)

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

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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) (Required.)

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

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

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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 

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

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22. How did you hear about the EQUALS in Tech Awards? (Required.)

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23. By submitting this nomination you will be part of the EQUALS Community. Would you like to be informed of EQUALS opportunities and other activities? (Required.)

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24. Would you like to receive our quarterly newsletter? (Required.)

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