Forces of Change Awards Entry

Who are you entering information for?*

Myself
Nominating someone else

Your First Name*

Your Last Name*

Your Email Address*

Your Organization*

Your Job Title

Nominee’s First Name*

Nominee’s Last Name*

Nominee’s Organization*

Nominee’s Title*

Nominee’s Email Address*

Why are you nominating this individual?*

Please provide brief details to support the nomination - such as an overview of their work, its impact, their vision, key milestones and/or partnerships. Links are welcome.

In brief, how are you working as a Force of Change?*

Please provide brief details to support your candidacy - such as an overview of your work, its impact, your vision, key milestones and/or critical partnerships. Links are welcome.

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