EHMP Nomination form 2020

Nominate for the EHMP and CWJ Awards
Nominator Information

Contact information for you, the person nominating
Nominator Name *

First Name Last Name
Nominator Organisation
Nominator Email *
example@example.com
Nominator Phone Number *

Area Code Phone Number
Nominator Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Nominee Information

Contact information for the woman you are nominating
Nominee Name *

First Name Last Name
Nominee Email *
example@example.com
Nominee Phone Number *

Area Code Phone Number
Nominee Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Nomination

Please ensure that the group you are nominating are aware of the information contained in your nomination. A copy of this nomination will be automatically emailed to them.
Nomination Summary *
Provide a short paragraph about your nominee (which we may use for publicity purposes with their permission)
Are travel expenses for the woman required?

No Yes
Are you able to sponsor travel expenses for your nominee?

No Yes
Raising Awareness *
What has the nominee done to raise awareness of violence against women and how has she tried to bring about change? This can be through writing or campaigning.
Challenges *
How has she tried to overcome obstacles or challenges to this work?
Innovation *
What has the nominee done that's really outstanding, innovative and original?
Above and Beyond *
Has the nominee done this work as part of her paid work? If so, can you show that she has gone further than she needed to do for her job, or has done this work in addition to her paid job?
Impact of the award *
What difference will this award make to her work?
Other relevant information
Any other relevant information
Centre for Women's Justice Award - Nature of the case
What is the nature of the campaign or case in which the nominee is involved?
Centre for Women's Justice Award - Role of the nominee
In what capacity has the woman or group been acting? Are they a litigant, practitioner, campaign group, etc?
Centre for Women's Justice Award - Holding the state to account
How is the nominee holding the state to account on violence against women?
Centre for Women's Justice Award - Impact of the case
What impact has the campaign or case had, or what impact is it expected to have?
Should be Empty:

Nominate for the EHMP and CWJ Awards

Nominator Information

Nominee Information

Nomination