CHINGARI AWARD Nomination form

NOMINATION OF CANDIDATE FOR

CHINGARI AWARD FOR WOMEN AGAINST CORPORATE CRIMES, 2008

Note: Please read the guidelines at the end of the form carefully before filling up the form. The selection process consists of screening and shortlisting from these nominations and a personal visit by an all-Women Jury to three shortlisted candidates for selection of final winner.

Date of Nomination:

I.INFORMATION ON NOMINATOR OF CANDIDATE FOR AWARD

1.Full Name:

2.Full postal address:

3.Telephone number (incl. Mobile number):

4.Email address, if any:

5.How closely do you know the candidate?

a.For how many years have you known the candidate & her work?

b.How closely have you been involved in that work?

c.Are you involved in the same struggle yourself?

d.If yes, in what capacity?

II.INFORMATION ON CANDIDATE PROPOSED FOR CHINGARI AWARD

A.Personal Information Related To The Candidate:

1.Full name:

2.Full postal address:

3.Telephone number (landline / mobile / PP number, whichever is applicable):

4.Email address, if any:

5.Age of the candidate:

6.Religion & Community she was born in:

7.Education:

8.Source of income:

9.Family and other responsibilities: (please mention if the candidate has ever held a position in a locally elected body)

10.Support from the family:

11.Experience in other struggles:

12.Any previous awards, prizes etc., given to the Candidate:

13.How would you rate access to the Candidate’s village? – very remote & inaccessible/ accessible by foot/accessible by public transportation/fairly accessible

14.What is the distance from the nearest town and what is the nearest town or city?

B.Information related to the Struggle:

1.Describe the origin of the struggle and the corporation that the struggle is targeting:

2.What are the goals and objectives of the struggle?

3.How did the struggle grow?

4.What is the nature of the struggle (advocacy/media outreach/direct actions/legal approach/mass mobilization/lobbying/the different levels of organizing the struggle and roles involved etc.)

5.What is the current status of the struggle?

6.What have been the successes achieved so far?

a.At the Community level

b.At the Corporate / Industry level

c.At the Government level

7.What are the problems (if any) that the struggle is facing?

8.Organisational issues:

a. Describe the decision making processes and structures

b.Describe how concerns of equity, inclusiveness etc., are addressed.

C.Describe the candidate’s role & contribution to the Struggle:

1.What is the position of the candidate in the organization?

a.Currently

b.When she began working in the organization:

2.How long has the candidate been involved in this struggle?

3.How and why did the candidate get involved in the struggle?

4.What difference has she made to the organization and to the struggle?

5.What are the methods and strategies that can be ascribed specifically to the candidate?

6.How has the community responded to her work?

7.Has she had to face any personal risks, sufferings or hardships because of her involvement in the struggle? If yes, what are they?

III.WHY DO YOU THINK THIS CANDIDATE IS THE MOST-DESERVING FOR THIS AWARD? (not more than 300 words)

IV.WHAT IMPACT WILL THE AWARD HAVE ON (a) THE STRUGGLE AND (b) THE CANDIDATE HERSELF? (not more than 500 words)

Undertaking by the Nominator:

I, the undersigned, have submitted the above Nomination and the information furnished by me here is truthful, accurate and complete to the best of my knowledge.

I would try to help in organizing a field visit for the jury members if the nominated candidate is shortlisted for the 2008 Award.

Place Signature
Date

GUIDELINES FOR THE NOMINATOR

Please keep the nomination confidential and refrain from discussing this with others.
Please do not advise candidates that they have been nominated.
Please fill up the form with truthful, complete and accurate information.
Incomplete nominations may not be accepted.
Deadline for sending back filled nomination forms to Chingari Trust is March 31st, 2008.
Nomination forms should be sent in electronic form, with information filled into the above form, by email to chingaritrust@gmail.com wherever possible and as signed hard copies to the Chingari Trust office address given below.
Nomination forms can be sent in Hindi and English.

The following criteria that would be applied to the Chingari Award for Women Against Corporate Crimes may be kept in mind while filling up the form.

A woman campaigning against corporate crimes [and/or government, incidentally]
A woman taking up the struggle in a remote part of the country, especially from rural India
a woman who put in a sustained struggle - at the time of nomination, there should be at least five years of struggle waged
A woman, who along with others, brought about changes in a company’s behaviour or the lives of community due to the struggle waged in a democratic manner
a woman who is well-respected and supported by her community/collective
a woman who has conducted her work at great personal risk and hardship
a woman whose current work would be significantly impacted by receiving the Award
a woman whose work is not affiliated or associated with any political parties, which is non-sectarian and secular
a woman who could provide significant inspiration to others around the country

CHINGARI TRUST,
# 44, SANT KANWAR RAM NAGAR,
BERASIA ROAD,
BHOPAL 462018.
PHONE: 0755-2747500
Email: chingaritrust@gmail.com