Full Name:
Address: Telephone: E-mail: Short Bio/Profile:
Youth, Peace & Security Award – Individual Category Note: Awarded to young trailblazers who have demonstrated exceptional commitment, courage, consistency, creativity, resilience and impact in the peace & security field. Youth, Peace & Security Award –Institutional Category Note: Awarded to youth founded, youth led, and youth focussed organisations that have demonstrated exceptional commitment, courage, creativity, and impact in advancing youth participation and leadership in peacebuilding processes at the grassroots, national, regional, and international levels. Children, Peace & Security Award –Institutional Category Children, Peace & Security Award –Institutional Category Note: Awarded to children focussed civil society organisations or government institutions that have demonstrated exceptional commitment, creativity, courage and impact in safeguarding children from all forms of abuse and violence, including protection of rights of children in contexts of armed conflict, and children recruited and exploited by terrorist organisations. Women, Peace & Security Award – Individual Category Note: Awarded to female trailblazers at the grassroots, national, and international level that have demonstrated exceptional commitment, courage, creativity, and impact in advancement of the Women Peace and Security Agenda. Women, Peace & Security Award –Institutional Category Note: Awarded to women founded, women led, and women focussed organisations that have distinguished themselves in their commitment, creativity, and impact toward accelerating women’s participation and leadership in peace building processes at all levels. Distinguished Award for Service to Victims of Torture Note: Awarded to individuals and institutions that have demonstrated exceptional courage and commitment towards safeguarding the rights and liberties of torture victims, as well as the rehabilitation of victims and their families. Distinguished Award for Service to Victims of Terrorism Note: Awarded to individuals or institutions that have demonstrated exceptional commitment, creativity, and impact in the rehabilitation of victims of terrorism and their families. Distinguished Award for Service to Refugees and IDPs – Individual Category Note: Awarded to individuals that have demonstrated exceptional commitment, dedication, and impact in service to refugees of all age groups and backgrounds, and Internally Displaced persons. Distinguished Award for Service to Refugees and IDPs –Institutional Category Note: Awarded to institutions that have demonstrated exceptional commitment, dedication, and impact in service to refugees of all age groups and backgrounds, and Internally Displaced persons. Human Rights Medal Note: Awarded to individuals in the JLOS, Defense sector, and legal fraternity that have demonstrated exceptional commitment, dedication, and courage in the Defense of human rights in line of duty. Courage Award Note: Awarded to individuals working in active war zones and war torn areas that have exhibited exceptional courage, heroism, and commitment in the pursuit of peace. Olive Branch Note: Awarded to leaders that have demonstrated exceptional skill, commitment, and results in mediation of complex local and international disputes. Peace & Security Innovators Award Note: Awarded to individuals that have distinguished themselves with innovations that improve systems and processes in the advancement of peace & security. Humanitarian Award Note: Awarded to non-traditional actors outside the peace, security, and humanitarian sectors, whose commitment, contribution and results have directly alleviated human suffering, enhanced human security, and strengthened community resilience.
Type of Nominee IndividualInstitutional Name of nominee ( First name): Name of nominee ( Family name): Gender: MaleFemale Nationality: Address: Date of Birth:
Please let us know why you believe the nominee proposed above is eligible for the award selected above by answering the following questions.
Share a short bio/profile of the nominee.
Please describe the nominee’s personal circumstances.
Please describe some exceptional and concrete actions the nominee has undertaken, and how these have contributed to the advancement of peace, security, human rights, or humanitarian work?
Please describe the impact and concrete results/ successes from the actions the nominee has undertaken.
Please describe the motivation of the nominee for being active in the peace, security, human rights, or humanitarian sector.
What are the nominee’s plans with regards to carrying their work forward in to the future?
What is the nominee’s key message to the world? (Please provide a short quote from the nominee in 1 or 2 sentences)
Please give an impression of the personality of the nominee (where the nominee is an individual)
Where the nominee is an individual, please submit a high resolution portrait photo of the nominee.
For both individual & institutional nominees, please additionally attach 5 high resolution action photos highlighting some of the nominee’s works.
Picture One: Picture Two: Picture Three: Picture Four: Picture Five:
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