2018 The Kazzie Award Inc. Application Form
The Kazzie Award is seeking applications from women who want to raise awareness of their efforts for environmental protection and for litter prevention.

Applications close Wednesday the 10th of September 2018.
I identify myself as female *
Please select the key pillars of change for environmental protection and/or litter prevention to be addressed by your activities funded by the award (tick all applicable):
Other? Please feel free to be creative and explain below
Your answer
What is the amount of your monetary request (in $AUD) *
Your answer
Please explain how the funds be used to further advance environmental protection and or litter prevention? Describe your passion, goals and how the Award will help/support you to achieve these (400 words maximum and please don't provide attachments or supplementary information) *
Your answer
Briefly describe your journey in the field of environment protection and /or litter prevention to date (250 words maximum) *
Your answer
Provide a 50 word summary of your passion for this Award to be published on the website as a tribute to women working in the field. *
Your answer
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