Women of Peace Award Nomination

Contact information of woman who is being nominated for the Women of Peace Award:
Name: ________________________________________________
Organization: __________________________________________
Address: ______________________________________________
City: _______________________  State:_________________   Country: __________________ Zipcode:____________________               Email:______________________________________________
 
Phone:____________________________ Fax: _______________________


Person completing nomination application :  
Relationship to the person being nominate, whether business and/or personal: ___________________________
Name: ______________________________________________ 
Address: ____________________________________________
City: _______________________________ State: _____________________
Country: ___________________________ Zipcode: _________________________
Phone: _______________________________ Email:_________________________


Briefly describe your candidate's projects/initiatives/life's work for which you are nominating them.  _____________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

1.                 Does the nominee take any personal risks to perform her life’s work or complete her initiatives? Explain and give specifics. The more examples the better chance nominee will be recognized for an award.
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________

2.     Does the nominee use any personal finances and time to perform her life’s work or complete her initiatives? Explain and give specifics. In other words, does nominee receive any compensation for the work for which they are being nominated and/or does the nominee donate any time or monies to perform their work. _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________

3.   Does the nominee receive any financial compensation for the project/initiative for which she is being nominated for?     Yes______   No_____ 

   If yes to Question no. 3 please answer the next two questions a and b.

a.     Is the nominee volunteering any additional time beyond the hours for which she is financially compensated?   Yes ______  No ______

b.    How many hours a month does the nominee volunteer?   _______ hours 

 4.  Does the nominee take a health risk to do her work? Explain. In other words, how does performing their work risk their lives or health, again providing specific examples of the risks the nominee has undertaken. _____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

5. Is the nominee working actively to bring peace to women and children’s lives or to work to end violence? Explain. Specific examples are helpful and more demonstrative of why the nominee deserves a Women’s Peacepower Award.
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________   

  6.        Does the nominee’s work impact society: Choose one.

____ locally  ____state  ____national     ____world

a. Explain how the nominee’s work is impacting society: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

7.     Does the nominee demonstrate selflessness in her commitment to the changes she is working on in her community? Explain. _______________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

8.      Has the nominee created a new approach to the problems she is addressing? Explain. __________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

9. Has the nominee won any other awards/accolades? Please list being specific such that said awards can be confirmed/corroborated: ___________________________________________________________________________
___________________________________________________________________________  ___________________________________________________________________________
___________________________________________________________________________

10. Include photographs, articles, documentation or supporting material, which will assist the committee in determining whether the nominee is deserving of the award.


 

 

*** Nomination deadline is May 31.

 

 

Mail to: 
Women’s Peacepower Foundation, Inc., P.O. Box 1618, Zephyrhills, FL 33539 
Or Email it to: peace@womenspeacepower.org

 

Any questions, please contact Diane McCabe Vaughan at dmccabe6225@earthlink.net .

Women's Peacepower Foundation, Inc.
P.O. Box 1618
Zephyrhills, FL 33539
e-mail
: peace@womenspeacepower.org

 

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05.04.14