Nominate

Please ensure you have read the guideline before you proceed with your nomination

NOMINATOR DETAILS (Person filling the form)

Full name*

Email address*

Phone*

NOMINEE DETAILS (Person you are nominating)

Full Name of Nominee*

Email Address of Nominee (if known):

Phone Number of Nominee (if known):*

Organization or Affiliation (if applicable)

Nominee’s Role/Job Title

SECTION 3: PROGRAM CATEGORY

Which category are you nominating them for? (Select one)*

SECTION 4: NOMINATION STATEMENT

Please describe the nominee’s work and why they deserve this recognition. (maximum 200–300 words)*

What specific impact has their work had on individuals, communities, or systems in relation to gender and social inclusion? (Be as specific as possible – include results, outcomes, or stories) (maximum 500 words)*

How is the nominee contributing to innovation, inclusion, or sustainability in their field? (maximum 200 words)

SECTION 5: SUPPORTING INFORMATION (Optional)

Paste any supporting documents or media (e.g. photos, reports, press coverage) to YouTube below (optional)

Or Upload files here

This field should be left blank

The Policy Innovation Centre (PIC) is the first institutionalized behavioural initiative in Nigeria supporting government and stakeholders to make behaviorally informed decisions and generate evidence for impact driven interventions in critical thematic areas.

ABOUT US

WHERE WE WORK

What We Do

Resources

+234 906 164 0753

[email protected]

ABUJA

Plot 1524, Cadastral Zone B08, Jahi District, FCT Abuja.

LAGOS

The Summit House 6, Oba Elegushi Street, off Oba Adeyinka Oyekan Avenue, Ikoyi, Lagos.

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