International Women's Day Recognition Award - Nomination Form

International Women’s Day Recognition Award Nomination form December 2014

Agitos Foundation Adenauerallee 212-214 53113 Bonn, Germany

Tel. +49 228 2097-200 Fax +49 228 2097-209

www.agitosfoundation.org [email protected]

Nomination Form International Women’s Day Recognition Award The “International Women’s Day Recognition” on the occasion of the UN International Women’s Day on 8 March is recognising primarily a woman leader in the Paralympic Movement who has and continues to inspire and emulate the Paralympic ideals and who is a positive role-model for other women within the movement. However, a man or an organisation who/that have been instrumental in promoting or developing women in sport opportunities may also be nominated. Members of the IPC Women in Sport Committee (Women in Sport Committee) cannot be nominated for the Agitos Foundation International Women’s Day Recognition Award. Name of the nominee: Organisation: Contact details (email): Why does the nominee deserve this recognition (200 – 300 words)?

Nominated by: Date: Signature:

Deadline for submission of nominations: COB, Friday 30 January 2015 Form to be sent to: [email protected]

International Women’s Day Recognition Nomination Form 2015

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