Nomination Form: WGIC DEI Trailblazer 2022 - Individual Champion Award

  • REQUIREMENTS FOR NOMINATIONS

    • Anyone may nominate a candidate for the WGIC DEI Trailblazer 2022 - Individual Champion with the candidate's permission. Self-nominations are welcome. 
    • The Candidate must be a Geospatial Professional or a member of the Geospatial Community. 
    • Nominees must not be currently serving on the WGIC board or any of the WGIC working groups or committees.  
    • Nominations must demonstrate why the candidate should be considered for this prestigious award above all others. 
  • NOMINATION CRITERION

    Nominations should reflect the ways a nominee has met at least one of the following criteria.

    • Served as an outstanding advocate for diversity, equity, and inclusion at the interpersonal, unit, and/or institutional level
    • Can demonstrate key actions and interventions to remove barriers to attract and improve the working experience and engagement within the geospatial community
    • Demonstrated a commitment to creating a culture of inclusion within their areas of influence and modeled respect or inclusive treatment when interacting with others; and/or
    • Implemented an initiative, project, and/or program that cultivates/advances/models diversity, equity, and inclusion within the geospatial community
    • Additionally, nominations may include supporting documentation that demonstrates the nominee's exceptional achievement(s) that meet the criteria for the awards.
  • NOMINEE INFORMATION

  • *
    Nominee Name
  • Nominee Title
  • *
    Nominee Organization
  • *
    Nominee Email
  • *

    Describe the key DEI initiative(s) led by the nominee.
    Your Response:

    0 / 20000

  • *

    Describe the impact of the nominee’s initiative(s).
    Your Response:

    0 / 20000

  • *

    Additional information about the nominee's contribution to the DEI cause
    (attach documents), Your Response 

    0 / 20000

  • Additional Document
    upload in PDF Format 

That's all, folks!

* End page and disqualification logic can only be seen in the live survey

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