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Uzalendo Integrity Award Nomination Form
This form will take approx. 10 minutes to answer.

Integrity Award for Acts of Integrity that demonstrate patriotism and courage by ordinary citizens with the possibility of mobilizing citizen action and emulation to espouse integrity and bring about transparency and accountability.
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Category of the nomination *
Required
Full legal name of Individual or Organization/Institution being nominated *

Enter the details of the nominee for the Uzalendo Integrity Award

Full Name *
Telephone Number *
Email *
County *
Constituency *
Ward *
Twitter Handle *
Facebook Page *
Describe the action for recognition (500 words maximum)                                                                     *

Guiding questions:

What happened?

 

Where did it happen?

 

When did the action take place?

 

What was the impact of the action in promoting integrity, transparency and accountability? Any documentation, media link or other mode of evidence for the action taking place?

 *
Explain the significant contribution by the nominee towards the action (500 words max)                   *

Guiding questions:

 

What were their particular actions? How did you know of their actions ?

Was there anyone else involved in the action? If yes, how?

 

The extent to which their actions made a significant contribution to the identified action of integrity/promoting integrity, transparency and accountability

What was the impact of their action towards promoting integrity, transparency and accountability *
Can you vouch for the nominee's integrity? *

Provide any additional information to assist in assessment of the nominee

 *
Would you publicly put the nominee at any risk? *
Enter your details and contact information
Full Name *
Mobile Number *
Email *
County *
Constituency *
Ward *
Twitter Handle *
Facebook Page *
I agree to not provide the details shared outside this platform *
Required

Any personal information shared will be used solely for the evaluation process and upon confirmation by the affected person, the information will be used for other engagements in the nomination and award process.

 *
Required

I declare that the information presented is true and that I have done my due diligence in

ascertaining the information

 *
Required
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