The Young Women’s Peace Award in the Caucasus has been established to acknowledge the exceptional role and leadership potential of young women in building peace, empowering their communities and working to prevent conflicts and to restore and protect human rights .It has been inspired by the work of famous peace and human rights activist Anahit Bayandur (1931-2011), winner of Olaf Palme Peace Prize . We understand that “Peace is not absence of war, but the ability to cope with it” and to sustain it. We see peace as a creative and powerful process that needs to be built and youth, especially young women, have much to invest in that process in the Caucasus and beyond. This award is aimed at advancing and supporting the emergence of a new generation of peace builders. The aim is to recognize their contributions as well as to support and empower them to feel responsible for their communities and the wider world in which they live. The award will be given to a young woman between the ages of 25-45 or alternatively an organization that invests in peace building in their community. The person or organization has to be known in the community for her/their peace -building activities and for her/their promotion of peace, justice and protection of human rights. This can be through civic activism, academic research, journalism, writing, using social media as tool etc. This work should have lasting impact on the processes of peace and confidence building. The geographical location or location of current residence of the person or organization is not important, what matters is their work and the connection of this work to the Caucasus. A CALL FOR NOMINATIONS INSTRUCTIONS 1. Individuals and groups with nominees in mind are encouraged to submit recommendations for any and all appropriate candidates/ organizations through the submission of this nomination form and all applicable references. • No self-nominations will be accepted. • The reference material that is submitted will not be returned. • This form may be submitted in Armenian, Azeri, Georgian, English, Russian, and other languages but translation into English and /or Russian is mandatory. . • Prior to submitting the nomination form, you must get the consent of the candidate. If this is not possible, please explain why you are not able to obtain consent. • The deadline for the nominations is 15 February 2012. 2. All nomination forms will be submitted to the Selection Committees in either Armenia, Azerbaijan or Georgia (see page 8 of this form for contact information and addresses). In accordance with a report by the committee, the board of the Initiative of Women for Peace in the South Caucasus will decide the winner. The selection for the award will be announced in April 2012. NOMINATION FORM All questions marked with an asterisk ( * ) must be answered. Incomplete nomination forms will not be considered. If there is a reason not to be able to fill out the form, the reason must be explained. PART I: CANDIDATE’S/ORGANIZATION’S PROFILE *1. Name of candidate: *2. Age: *3. Country: *4. contact addresses *Postal Address or contact information: *Telephone number: *Fax number: *E-mail: Contact person (If your candidate has neither an address nor a phone, how can she be reached? ): 5. Website: 6. Is she, or her work, part of an organization or a network? If yes, please check the appropriate box and write the name of the organization. Non Governmental Organization [ ] Governmental Organization[ ] Civil Society Organization (including cooperatives, community-based organizations, trade unions, etc.) [ ] Faith Based Organization [ ] Other [ ] 7. Purpose/Activities of this organization and her Title/Position within the organization: involved in multiple organizations, please list them with the organization *8. Please state the context or level where she mainly works (i.e., international level, national level in a specific geographic region, at the level of community, village etc.) Please explain briefly: *9. Write down her profile in 100 words. It will be widely introduced if she is chosen as the winner: *PART II: CANDIDATE’S ACTIVITIES (MAXIMUM 2 PAGES) *1. Please provide a brief background (biography) of the candidate, including family history, education, and life circumstances. *2. What are the specific issues she works on? *3. Describe the work she is being nominated for and include information on: a. How long she has been doing this work. b. What particular methods she uses in her work. c. The unique features of her work. *4. Describe the relevant conditions (e.g. physical, economic, cultural, and security) that were present when she started her work. *5. What long-term improvements/changes will be expected to result from her work? *6. Who has benefited or who will benefit from the candidate's work? *7. What are the difficulties she is confronted with in her work, including personal risk/cost, impact on family, etc.? *8. Explain in THREE sentences why the candidate deserves to receive the Award this year. *PART III: INFORMATION ABOUT YOURSELF (NOMINATOR) *1. Name: *2. Organization / Employer / Affiliation: *3. Postal Address: *4. Country: *5. Phone: *6. Fax: *7. E-mail: 8. Website: *9. Do you know the candidate personally? Under what circumstances have you encountered her and her work? Please explain it in THREE sentences. *PART IV: REFERENCES Please provide the names, addresses, positions, and other contact information (telephone, email) of two (2) persons who can confirm the accuracy of the information in this nomination form, and attest to the dedication, commitment, integrity, and character of the candidate. Also please indicate how the referee knows the candidate, e.g. peer, colleague, someone positively impacted, etc. *1. Name: Postal address: Occupation / Position: Phone number: E-mail: How does she / he know the candidate? Explain it in THREE sentences. *2.Name: Postal address: Occupation / Position: Phone number: E-mail: How does she / he know the candidate? Explain it in THREE sentences PLEASE SUBMIT COMPLETED NOMINATION FORMS AND REFERENCES TO: ARMENIA "Democracy Today" Contact person: Anna Ishkhanyan Address: 40 Toumanian str. apt 6, Yerevan, Armenia Tel: 37410531956 Email: dt@arminco.com AZERBAIJAN Association for the Protection of Women's Rights named after D. Aliyeva Contact person: Dilara Efendieva, Novella Jafarova Address: 2-nd Mirza Mansurov str. 4/6 Baku , Azerbaijan Tel.: +99412 4972108 +99450 3346150 Email: n_jafarova@azeri.com; defendieva@yahoo.com GEORGIA Women`s Information Center (WIC) Contact person: Hellen Rusetskaja Address: Tsinamdzgvrishvili str. #40, Tbilisi Tel.: 995 32 2 95 29 34 E-mail: office@ginsc.net Union of disabled warriors and spouses of perished soldiers Contact person: Manana Mebuke Address:12/4 Kipshidze Str., Tel.: +995 32 29 39 04, +995 77 46 58 68 E-mail: dt_wife@yahoo.com

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