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

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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 PROJECT -  Share 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

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* 7. Year established:

Date

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* 8. Country(/ies):

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* 9. Representaitve information

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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 previously nominated for an EQUALS in Tech Award?

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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.
Choose File

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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.
Choose File

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

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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?

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* 24. Would you like to receive our quarterly newsletter?

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