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Application Form

Personal Information
If you nominate yourself, please proceed to the "Nominee Information" section.

Phone Number
E-Mail Address *
How long have you known your nominee?
What is the relationship between you and your nominee?
How did you learn about Turkey’s Changemakers program?                                    

Nominee Information
Fields with * are required.

Nominee Type

Kişi         Kurum
Name *
Surname *
Phone Number *
E-Mail Address *
Facebook Page (If exists)
Twitter Page (If exists)
Web Page (If exists)
Educational Status
Nomination Category

Reason for Nomination
Fields with * are required.

Why do you think that your nominee is a real changemaker? Why do you nominate him/her under this category? *
(Please specify the difference that your nominee made in people’s lives and his/her success story in details – max. 1200 characters)
Why is the impact created by your nominee important? *
(Please specify how many people were affected and inspired by the impact, the duration and level of the effect – max. 1200 characters)
Is there any special reason that motivated you nominee to address this topic?
(Please specify if there is any personal story or specific incident – max. 600 characters)
What are the features that make your nominee special and extraordinary?
(E.g. personal background, moral/material obstacles etc. – max. 600 characters)
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