DISTRICT NOMINATION
ZONTA SERVICE RECOGNITION AWARDS
NOMINATION FORM FOR DISTRICT PROJECTS
FOR BIENNIUM 2014-2016
1.
District Nominated
2.
List how many of your district’s Zonta clubs participated in the district project:
3.
Name of Project:
4.
Category of Project: 1 ☐
2☐
Please check box 1 or 2 based on the categories provided below.
1. Service projects that empower women and girls in general to achieve equal rights and
to secure their access to all legal, political, economic, educational, health and
professional resources; and
2. Service projects focusing on prevention of the root causes of violence against women
and girls through education.
5.
Date the Project Started:
It will continue until
6.
Place of Project
7.
Name of Partners other than Zonta (if any)
8.
Nomination submitted by
9.
Signature
10. Email Address
Telephone
11. Zonta Club of
12. District
Area
Club No.
13. In 200 words, describe the district’s work or activity in community service and in what way did its
achievements or activities benefit the women and/or girls in the community, as well as the
visibility it gave to Zonta.
14.
Send a digital high-res image (at least 300 dpi) photo of the project. (Collage pictures will not be
accepted)
15. All these documents (nomination form, 200 words description and photo) must be sent by email
to zontaservice@zonta.org, no later than 8 February 2016:
Check list for submission to International Service Committee at Headquarters
A.
B.
C.
Completed nomination form for the project to be considered
200 words description of your district’s nominated service project
A digital high-res image (at least 300 dpi) photo of the project.