INTERNATIONAL CHILDREN’S PEACE PRIZE

NOMINATION FORM 2016

Practical Guidelines

Selection of the child

  • An individual boy or girl; (Groups of children will not be considered)
  • Above 12 years and under 18 years of age; (the child should not be older than 17 years by the time of the nomination deadline)
  • From all over the world;
  • The child must have a clear history of standing up and fighting for the rights of him/herself and other children. It is important that the child has an active approach in accomplishing this goal, which has led to a concrete result;
  • Ability to travel abroad and feeling comfortable communicating with other people;
  • The child agrees to being nominated for the International Children’s Peace Prize.

Process

  1. Any person or organisation may nominate a child for review by the Expert Committee.
  2. The final date for nominating a child for this year’s Peace Prize is 4th March 2016.
  3. Please send, before 4th March 2016,the data of your nominee to (please fill out this form as completely as possible).
  4. The official ceremony of the International Children’s Peace Prize will be in The Hague, the Netherlands.

Nominee for the International Children’s Peace Prize 2016

Child nominated

First (Given) Name:

Last (Family) Name:

Address:

Date of Birth (DD/MM/YYYY):

Boy / Girl

Nationality:

Comments:

Organization/ Person nominating the child

Organization*:

Full Name:

Address:

Telephone:

E-mail:

How did you hear about the International Children’s Peace Prize? :

*Media are asked to submit their nominations via/together with a local organization or individual known to the child, who can ensure that the child receives the necessary care and support after his or her nomination.

Let us know why you believe the child is eligible for the International Children’s Peace Prize by answering the following questions:

  1. Please describe the child’s personal circumstances.
  1. Please describe some concrete actions the child has undertaken.
  1. Please describe the impact and concrete results of the actions of the child.
  1. Please describe the motivation of the child for becoming active in the field of children’s rights.
  1. What are the nominee’s plans with regards to carrying his/her work forward in to the future?
  1. What isthe nominee’s key message to the world? (please provide a short quote from the nominee in 1 or 2 sentences)
  1. Please give an impression of the personality of the child.
  1. Please describe in which way the child is being supported by parents, other adults or organizations.
  1. Does the child have any experience with media exposure because of his/her actions?
  1. Are there any restrictions to be considered when travelling abroad?

TO COMPLETE YOUR NOMINATION, PLEASESEND VIA E-MAIL BEFORE THE 4thMARCH2016TO :

-NOMINATION FORM COMPLETE

-PHOTO OF THE NOMINEE

-AUTHORIZATION FORM COMPLETE (see next page). In case you are not authorised to sign the authorisation form, please contact KidsRights via

AUTHORIZATION FORM 2016

I am authorised to give The KidsRights Foundation permission to use any information shared in the nomination form, as well as the photograph(s) and videos of ...... (name child) for publicity purposes.

Please fill out the entire form:

Name (full name):

Relationship with the child:

Date & Place:

Signature:

PLEASE SCAN AND SEND TOALONG WITH THE PICTURE OF THE NOMINEE AND THE NOMINATION FORM.

Due to specific circumstances the information shared in this nomination

form may not be shared publically (tick box).

PLEASE DON’T FORGET TO PUT DOWN YOUR SIGNATURE.