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SayPro Nomination Form Template: Standard form that includes sections for personal information.
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SayPro Nomination Form Template
Introduction
The SayPro Nomination Form is designed to collect relevant information about a nominee and their achievements, ensuring a streamlined and efficient process for evaluating candidates. This form includes sections for personal details, project information, and a brief explanation of the nominee’s accomplishments. Below is the template structure for the form:
SAYPRO NOMINATION FORM
Nominee Information
(Complete all sections below for the nominee.)
1. Full Name of Nominee:
– [ ] First Name: ________________
– [ ] Middle Name (if applicable): ________________
– [ ] Last Name: ________________
2. Nominee’s Job Title/Position:
– ________________________
3. Nominee’s Organization/Institution:
– ________________________
4. Nominee’s Contact Information:
– Phone Number: ________________________
– Email Address: ________________________
– Mailing Address:
– Street Address: ________________________
– City: ________________________
– State/Province: ________________________
– Postal/Zip Code: ________________________
5. Nominee’s LinkedIn Profile or Personal Website (if applicable):
– [Insert URL]: ________________
Project Details
(Provide detailed information on the project or initiative the nominee has worked on.)
1. Project Title/Name:
– ________________________
2. Project Type or Category:
(e.g., Research, Innovation, Community Impact, Technology Development, etc.)
– ________________________
3. Project Duration/Timeline:
(Provide the start and end date of the project or ongoing status)
– Start Date: ________________
– End Date (if applicable): ________________
– Ongoing: [ ] Yes [ ] No
4. Project Description:
(Provide a detailed description of the project or initiative. Describe the purpose, goals, scope, and target audience.)
– ________________________________________________________
– ________________________________________________________
– ________________________________________________________
5. Nominee’s Role in the Project:
(Briefly explain the nominee’s involvement and responsibilities.)
– ________________________________________________________
– ________________________________________________________
6. Project Outcomes & Impact:
(Describe the results or impact of the project, including measurable outcomes or success stories.)
– ________________________________________________________
– ________________________________________________________
Nominee’s Achievements & Recognition
1. Brief Explanation of Nominee’s Achievements:
(Provide a narrative of the nominee’s key accomplishments that demonstrate their eligibility for the SayPro award. This can include contributions to the field, leadership, innovation, or other notable achievements.)
– ________________________________________________________
– ________________________________________________________
– ________________________________________________________
2. Awards, Honors, or Recognition:
(List any significant awards or recognition the nominee has received related to the project or other professional achievements.)
– ________________________
– ________________________
3. Innovative Contributions:
(Highlight any innovative ideas, processes, or methods that the nominee has introduced. Include any unique solutions that have made a difference in their field or community.)
– ________________________________________________________
– ________________________________________________________
4. Supporting Documents & References:
(If available, attach any documents, letters of recommendation, or supporting materials that reinforce the nominee’s eligibility.)
– [ ] Document 1 (e.g., letter of recommendation, certificate)
– [ ] Document 2 (e.g., report, testimonial)
– [ ] Other: ________________________
Nominator Information
(Complete this section if you are nominating someone else.)
1. Full Name of Nominator:
– [ ] First Name: ________________
– [ ] Middle Name (if applicable): ________________
– [ ] Last Name: ________________
2. Nominator’s Contact Information:
– Phone Number: ________________________
– Email Address: ________________________
– Mailing Address:
– Street Address: ________________________
– City: ________________________
– State/Province: ________________________
– Postal/Zip Code: ________________________
3. Nominator’s Relationship to the Nominee:
(Describe your relationship to the nominee and why you believe they deserve the recognition.)
– ________________________________________________________
– ________________________________________________________
Nomination Deadline & Instructions
– Please ensure that all fields are completed thoroughly before submitting the form.
– Submit the form by [insert submission deadline date].
– Nominations can be submitted via [insert submission method: email, online form, etc.].
– For any questions or additional assistance, please contact [insert contact information].
Signature of Nominator (if applicable):
– Signature: ____________________________
– Date: ____________________________
This template ensures a comprehensive overview of the nominee’s qualifications, project contributions, and the impact they’ve made. It also facilitates a smooth process for both nominators and the review committee to evaluate candidates effectively.
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