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EQUALS in Tech Awards 2020
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.)
Address 1
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Address 2
City/Town
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ZIP/Postal Code
Country
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Email Address
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Phone Number
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THE INNOVATIVE INITIATIVE OR PROJECT
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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
(Required.)
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7.
Year established:
(Required.)
Date
Date
January
February
March
April
May
June
July
August
September
October
November
December
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
Su
Sunday
Mo
Monday
Tu
Tuesday
We
Wednesday
Th
Thursday
Fr
Friday
Sa
Saturday
01
02
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8.
Country(/ies):
(Required.)
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9.
Representaitve information
(Required.)
Name of representative:
Role in the initiative/project:
Email:
Postal address and Zip/postal code:
Contact phone number:
Linkedin
10.
Website and/or Social Media:
Website:
Twitter:
Facebook:
Linkedin:
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11.
Type of Stakeholder
(Required.)
Government
Private Sector
Civil Society
International Organisations
Academia
Other (please specify)
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12.
Category of Nomination:
Select one of the following options
(Required.)
Access
Skills
Leadership in Tech
Leadership in SMEs
Research
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13.
Was this initiative/project previously nominated for an EQUALS in Tech Award?
(Required.)
No
Not sure
Yes (please specify the year)
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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.)
18.
Please list major partners in this initiative/project
19.
Please provide any relevant/related web links (i.e. videos, websites, evaluations, testimonials, etc) for the aforementioned initiative (500 words max)
20.
Please provide a picture of the work of the initative/project
PDF, DOC, DOCX, PNG, JPG, JPEG, GIF
Choose File
No file chosen
21.
Please provide a picture of the work of the initative/project
PDF, DOC, DOCX, PNG, JPG, JPEG, GIF
Choose File
No file chosen
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22.
How did you hear about the EQUALS in Tech Awards?
(Required.)
EQUALS Facebook
EQUALS LinkedIn
EQUALS Twitter
EQUALS Partner
EQUALS Website
Personal and/or professional network
Other (please specify)
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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.)
Yes
No
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24.
Would you like to receive our quarterly newsletter?
(Required.)
Yes
No
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