Young Woman Award - Nomination Form
Nominations close Friday 8th December 2017
Quick Check
Before you start filling in the nomination form make sure you can answer

YES and TICK the boxes to the following questions

Has your Nominee given you permission to be nominated? *
Required
Will your Nominee be younger than 30 years old by March 2018? *
Note: if she is over 30 years old, please complete the nomination form for Woman of the Year
Required
About You
Your Name *
Your answer
Your Email *
Your answer
Your Phone Number *
Your answer
Your Address *
Your answer
About Your Nominee
Nominee's Name *
Your answer
Nominee's Email *
Your answer
Nominee's Phone Number *
Your answer
Nominees's Address
Your answer
Nominee's Website/Blog
Optional
Your answer
Background Information
How do you know your nominee?
For how long, personally, professionally ect.
Your answer
In which part of the UK does she work?
Your answer
Why do you think your nominee should win Young Woman of the Year (750 words max)
Please make sure to include the following points in your nomination: - What are her personal qualities? - What kind of work does she do in her community? - What are her key achievements? - How does she empower others? For example, what does she do to help others in her community to be more confident, self-reliant and know their rights? Or, what does she do to help other organisations provide better services to members of her community? - How does she work with organisations and institutions outside her community? For example, how is she challenging long term problems within the community and/or in the wider community? - How does her work contribute to wider change? For example ,what difference has it made on a daily basis to the individuals and families she has worked with? - Please tell us anything else about your nominee and her work, which you think is important and relevant - Please include links to videos or website with her work eg. YouTube, LinkedIn, blogs etc.
Your answer
References
Please provide contact details for two referees (not family members)
Referee #1
Referee's Name *
Your answer
Referee's Email *
Your answer
Referee's Phone Number *
Your answer
Please also briefly describe in what capacity they know the nominee *
Your answer
Referee #2
Referee's Name *
Your answer
Referee's Email *
Your answer
Referee's Phone Number *
Your answer
Please also briefly describe in what capacity they know the nominee *
Your answer
Please make sure you have the consent of the person you are nominating to share their information and contact details. By submitting this form, you agree to let us and our partners use any information or data that you provide to us. The form and any contact details in it will be kept confidential and will not be disclosed to any third party without your permission. The information you have provided in it may be used to promote the Award or celebrate the achievements of the nominee publicly.
Interviews for short-listed candidates will take place in January 2018. Please note any difficulties with this.
Skype interviews are available
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Migrants Organise. Report Abuse - Terms of Service - Additional Terms