NOMINATION FORM


DEADLINE: Monday 30 October, 2017

Categories

POLICY DRIVER

Nominee must have actively championed a cause for the betterment of society. Nominee may have authored, campaigned, lobbied or publicly added their voice to a policy issue that they feel strongly about. Policy may be a local, regional, national or international initiative on any subject matter.

SOCIAL DRIVER

Nominee must have participated in social projects, led and initiated by civil society and/or non-government organisations. Nominee actively engages marginalised members of society through social programmes/ projects and participates in work led by NGOs in any field or subject matter.

BUSINESS DRIVER

Nominee has actively participated in supporting small businesses, entrepreneurs and young people as one of the measures to recover from the economic downturn. Nominee may have assisted in creating new jobs or opened paths for greater trade relation that has had a positive effect on society in general.

Please provide as much information as possible and click submit.

Nominee is a:
Your Name: *
Your Name:
If selected, who should be contacted? *
I agree that the Nominee is alive and active in service, works in Great Britain and Northern Ireland, and is available to attend the ceremony in London.
Please contact me for tickets: *

Disclaimer: Information contained in this nomination form will be kept strictly confidential and will not be communicated to any person other than those involved in the judging committee associated to Grassroot Diplomat.