AFRICAN WOMEN IN AGRIBUSINESS AWARDS 2025 5th Edition – Women in Agribusiness Awards (WiAA)

AFRICAN WOMEN IN AGRIBUSINESS AWARDS 2025 5th Edition NOMINATION FORM

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SECTION 1: NOMINATOR INFORMATION

Full Name *

Contact Number *

Email Address *

Organization/Company

Nomination Type *

Self-NominationFirst Choice
Third-Party NominationSecond Choice

SECTION 2: NOMINEE INFORMATION

Nominee Full Name *

Nominee Phone Number *

Country of Operation *

Position/Role *

SECTION 3: AWARD CATEGORY SELECTION

Select ONE category that best fits this nomination

SECTION 4: NOMINATION DETAILS

Key Achievements and Impact *

Describe the nominee's key achievements, innovations, and impact in agribusiness. Include specific metrics, awards, or recognitions where applicable.

Innovation and Leadership *

How has the nominee demonstrated innovation and leadership in their field? What makes them stand out from their peers?

Community and Social Impact *

Describe how the nominee's work has positively impacted their community, other women, or the broader agricultural/agribusiness sector.

Future Vision and Goals *

What is the nominee's vision for the future of African agribusiness? What are their upcoming projects or goals?

SECTION 5: SUPPORTING DOCUMENTS

Image Upload *

Drop your file here or click here to upload You can upload up to 1 files.

Nominee Photo - (Professional headshot recommended)

File Upload *

Drop your file here or click here to upload You can upload up to 1 files.

Supporting Documents: - (CV, Certificates, Awards, Media coverage, etc.)

References: - (Optional)

Please provide contact information for 1-2 professional references who can speak to the nominee's achievements and character.

SECTION 6: DECLARATION & CONSENT

Checkboxes *

I confirm that all information provided is accurate and I have obtained consent from the nominee to submit this nomination.First Choice
I consent to the nominee's information being used for promotional purposes related to the African Women in Agribusiness Awards 2025.Second Choice
I agree to the terms and conditions of the African Women in Agribusiness Awards 2025.Third Choice

Nominator Signature

Date

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Phone