Woman of The Year Award - Nomination Form
Nominations close Friday 8th December 2017
Email address *
Quick Check
Before you start filling in the nomination form make you can answer YES and TICK the boxes to the following questions
Has your Nominee given you her permission to be nominated? *
Required
Will your Nominee be over 30 years old by March 2018? *
Note: If she is younger than 30, please complete the nomination form for Young Woman of the Year
Required
Has she been actively involved in community work which has supported migrants and/or refugees to settle in the UK in the last 12 months? *
Note: Women nominated do not have to lead nor work within a legally constituted organisation. The nominee’s work does not need to have been with or for women, or on gender issues. Nominees can be paid workers or volunteers.
Required
This is the first time she has been nominated for a Migrant Woman of the Year Award *
Note: If your nominee was nominated in previously she may be re- nominated, providing she was NOT shortlisted for an interview AND has done new work.
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
Nominee'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(s) of the UK does she work?
Your answer
Where is she from?
Your answer
When did she arrive in the UK?
Your answer
Why do you think your Nominee should be Woman of the Year? (500 words max) *
Notes: Please tell us about her personal qualities, her work and achievements. Please focus on her recent work, especially from this year, and, if relevant, also tell us about other things she has done.
Your answer
How does her work make a difference on a daily basis to the individuals and families she has worked with? Please give examples to illustrate the points you make. (200 words max) *
Notes: Please make reference to her work in the past year, and, if relevant, also tell us about other things she has done
Your answer
How does she empower others? Please give examples to illustrate the points you make. (200 words max) *
Notes: 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?
Your answer
Please tell us anything else about your nominee and her work, which you think is important and relevant. (200 words max)
Your answer
Part 4 References
Please provide us with two references (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
How did you hear about the Woman On the Move Awards?
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 with short-listed candidates will take place in January 2018. Please note any difficulties with this.
Skype interviews are available
Your answer
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