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Dr Andreas Schild Memorial Mountain Prize

Form

Dr Andreas Schild Memorial Mountain Prize












    Individual nomination formOrganizational/Company nomination form

    1. Nominator’s (i.e., your) information

    Your full name







    City and country in which you live



    Your contact details (landline/phone number, mobile/cell number, email address, fax number)






    2. Individual nominee information

    Your nominee’s full name







    City and country in which your nominee currently resides/works



    Your nominee’s contact details (phone number and email address)



    2. Organizational/company nominee information



    Full name of the Head of the organization or company (please include his/her proper job title)




    City and country in which the nominated organization or company is based



    Contact details of the nominated organization or company (landline/phone number, email address, fax number)




    3. Nomination form

    SECTION A. Thematic areas of work


    SECTION B. Setting the context

    Provide an overview of your nominee’s outstanding pandemic-response work. What were the expected results of the work, and where in the Hindu Kush Himalayan region was it carried out? (e.g., was it an individual effort, or did the nominee work as a part of a larger team? If it was a team effort, who were the key partners?) [300 words]*

    SECTION C. Resilience building

    How did the nominee’s work enhance the resilience of the target community (e.g., did it improve socio-economic conditions, access to goods or information, etc.)? [400 words]*

    SECTION D. Transformative change

    How has the nominee’s work contributed to transformative change on the ground in terms of social, economic and environmental factors (e.g., how many households or people benefitted from the work – directly and indirectly– and how; did it lead to innovation or contribute to green recovery)? [400 words]*

    SECTION E. Gender and social inclusivity

    How does the nominee’s work address gender or other social inclusion issues? [400 words]*

    SECTION F. Prize worthiness

    Why does your nominee deserve to win the Dr Andreas Schild Memorial Mountain Prize? [100 words]*

    SECTION G. Supporting documentation

    Compile into one document and upload here electronic copies of any supporting documents that provide evidence of your nominee’s outstanding work and achievements. (Maximum file size 5Mb)


    Does the head of your nominated organization/company know that you have nominated his or her organization/company for the Dr Andreas Schild Memorial Mountain Prize? Yes or No? (If you chose “No”, please inform him/her accordingly)*

    YesNoNot applicable

    I confirm that the above information is accurate and complete to the best of my knowledge.