Nomination form - Equate Scotland

Please detail why the nominee should win the award, paying close attention to the criteria. You can submit up to two documents containing extra information; this is optional but could help to back up your statement. This could be examples of work, papers or images which relate to the entry.

Your name

Email address

Phone number

University, College or Organisation

Nominee's name

Nominee's email address

Nominee's phone number

Tell us about the student you are nominating

in 100 words or less

How have they been an inspiration to other girls and women in STEM?

in 200 words or less

Describe the short-term and long-term impact of their work for the student population and/or the wider community.

in 200 words or less

What steps have been taken to ensure the sustainability of this work ?

in 100 words or less

I agree to have my details added for newsletter and events information via email

Yes

I agree to have my details added for events information via phone

Yes

Supporting document 1

Supporting document 2

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