Individual nomination form

CWJ & EHMP Award
For the first time, the Emma Humphreys Memorial Prize and the Centre for Women's Justice will be working together to give an award recognising the achievements of a woman or group using the law to hold the state to account around violence against women. Please submit your nomination using the form below. There is a separate form for submitting a nomination for the EHMP prize for campaigners and writers working more broadly on male violence against women.
Nominator Information

Contact information for you, the person nominating
Nominator Name*

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

Area CodePhone Number
Nominator Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Nominee Information

Contact information for the woman or group that you are nominating
Nominee Name*

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

Area CodePhone Number
Nominee Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Nomination

Please ensure that the woman or group you are nominating is aware that you are sharing the information contained in your nomination.
Nomination Summary*
Provide a short paragraph about your nominee (which we may use for publicity purposes) What is the nature of the case or campaign they are being nominated for?
Are travel expenses required?*

NoYes
Are you able to sponsor travel expenses for your nominee?

NoYes
Role of the nominee
In what capacity has the woman or group been acting? Are they a litigant, practitioner, campaign group, etc?
Holding the state to account
How is the nominee holding the state to account around violence against women?
Impact
What impact has the campaign or case had, or what impact is it expected to have?
Other relevant information
Any other relevant information
Should be Empty:

CWJ & EHMP Award

Nominator Information

Nominee Information

Nomination