Submitter Data Name: Job Title: Organisation: Email Address: Tel no (inc country code) Organisation Address: Country: Website: City Board Regional Board Community Group Organisation Type: Corporate Government Agency/Institution Charity Other Organisation Sector: Category Private Public Please select the applicable category. Population data will be verified during the review process. Large cities (over 1,000,000 inhabitants) Medium Size Cities (over 200,000 and less than 1,000,000 inhabitants) Small cities (up to 200,000 inhabitants) City Metrics Please provide information on the city Official City Name: (Please use the registered name of the City as this information may be published in official material ) City Population: Northern Western Region: Central Eastern Southern Address: Post code: City/ Country: Telephone: Mobile: Email: Website: Official Flag/Logo upload: Mayor Details This Award goes to an African Mayor, male or female, who has shown particular leadership skills in taking his/her city forward. Please provide the details of the Mayor you wish to nominate Name: Title: Profile/Biography: Photograph (please provide a high resolution portrait style photograph) Please provide the details of the Mayors office Organisation: Email address: Tel no (inc country code) Organisation address: Evidence & Questions NOTE TO ALL ENTRANTS: Please use specific examples when illustrating your points. The shortlisted candidates are the ones, which use clear and concrete examples, which make them, stand out from their competitors. The examples and motivations should relate to activity, which has taken place in the past year or to the progress made this year as part of a longer-term strategy. Please respect the word limit – this is to ensure that all entrants are given equal opportunities. Judges will only consider the content within the word count for each section. Entries will be judged on the fiscal year of 2013/2014. Leadership Leadership (max 200 words) How has the candidate shown exemplary leadership and vision? Leadership (max 200 words) How has the individual shown dexterity and skill to improve his/her city? Taken on new challenges/ opportunities Taken on new challenges/ opportunities (max 150 words) How has the individual addressed new challenges and opportunities? Taken on new challenges/ opportunities (max 150 words) How did he/she overcome obstacles? Promoting the highest standards of governance Promoting the highest standards of governance (max 200 words) How has the individual promoted/improved city governance in terms of legality? Promoting the highest standards of governance (max 200 words) How has the individual promoted/improved city governance in terms of legitimacy? Promoting the highest standards of governance (max 200 words) How has the individual promoted/improved city governance in terms of participation? Promoting the highest standards of governance Please use the “Sustainable Governance Indicators” to substantiate your examples Contribution to changed perceptions of African Cities Contribution to changed perceptions of African Cities (max 100 words) How has the individual changed the image of African cities through: Incorporating the best management practices Contribution to changed perceptions of African Cities (max 100 words) How has the individual changed the image of African cities through: Bringing world class standards to African Cities Contribution to changed perceptions of African Cities (max 100 words) How has the individual changed the image of African cities through: Introducing new ideas and innovations Specific Project/Initiative Specific Project/Initiative(200 words) Mention an original initiative/policy/project/practice implemented under the leadership of the candidate in the key performance areas of local governments, namely: Service delivery and infrastructure development For the areas provide concrete examples and illustrations (document upload) Specific Project/Initiative(200 words) Mention an original initiative/policy/project/practice implemented under the leadership of the candidate in the key performance areas of local governments, namely: Local economic development and job creation For the areas provide concrete examples and illustrations (document upload) Specific Project/Initiative(200 words) Mention an original initiative/policy/project/practice implemented under the leadership of the candidate in the key performance areas of local governments, namely: Institutional development and professionalism Good governance For the areas provide concrete examples and illustrations (document upload) Specific Project/Initiative(200 words) Mention an original initiative/policy/project/practice implemented under the leadership of the candidate in the key performance areas of local governments, namely: Good governance For the areas provide concrete examples and illustrations (document upload) Specific Project/Initiative(200 words) Additional areas such as technology can also be included. For the areas provide concrete examples and illustrations (document upload) Specific Project/Initiative(200 words) Additional areas such as environment can also be included. For the areas provide concrete examples and illustrations (document upload) Main Results Highlights Main Results Highlights (provide quantitative and qualitative figures, relevant data as well as photos and plans as appropriate and (150 words) Demonstrated city growth in terms of increased business opportunities, revenue, profits and assets. Supporting document upload Main Results Highlights (provide quantitative and qualitative figures, relevant data as well as photos and plans as appropriate and (150 words) Best practices in city management and governance Supporting document upload Main Results Highlights (provide quantitative and qualitative figures, relevant data as well as photos and plans as appropriate and (150 words) Key realizations in service delivery Supporting document upload Main Results Highlights (provide quantitative and qualitative figures, relevant data as well as photos and plans as appropriate and (150 words) Public/Private Partnerships transactions (water/sanitation/infrastructure/energy/ITC/C onnectivity/mobility/) Supporting document upload Main Results Highlights (provide quantitative and qualitative figures, relevant data as well as photos and plans as appropriate and (150 words) Key achievements in business development and performance and in job creation (Provide the key quantitative and qualitative achievements [financial, employment/jobs creation and business performance) Supporting document upload Main Results Highlights (provide quantitative and qualitative figures, relevant data as well as photos and plans as appropriate and (150 words) Main Public works and buildings Supporting document upload Motivation Motivation (max 150 words) Why should the individual win this award? Please be specific to the above point in your answer. Supporting documents to provide the key quantative and qualitative achievements [operational and organizational achievements] Motivation (max 150 words) What were his/her major achievements in Africa in the past 12 – 24 months? Supporting documents to provide the key quantative and qualitative achievements [operational and organizational achievements] Motivation (max 150 words) What makes him/her special for Africa? Please be specific to the above point in your answer. Supporting documents to provide the key quantative and qualitative achievements [operational and organizational achievements] Motivation (max 150 words) How has he/she excelled? Please be specific to the above point in your answer. Supporting documents to provide the key quantative and qualitative achievements [operational and organizational achievements] Motivation (max 150 words) How does his/her leadership differentiate the individual from his/her peers? Please be specific to the above point in your answer. Supporting documents to provide the key quantitative and qualitative achievements [operational and organizational achievements] Supporting Documents Please upload any documents that you feel will strengthen the nomination. TECHNICAL PROJECT INITIATIVE PHOTOGRAPHIC SUPPORT VIDEO SOCIAL MEDIA