2016 World Technology Awards Public Nomination Form

*Nominations close October 31, 2016*

There is a small initial processing fee to submit your nomination and apply for Fellowship. Once you're accepted into the network, there are no fees to nominate further innovations for yourself or your peers and connect with the other WTN Fellows.

2016 Nomination Submission Fees:
Individual Nominations $195, Organization (Non-Profit, Government, Academic) Nominations $195, Corporate Nominations $295.

 
1 Start 2 Payment 3 Complete
Nomination Type
Nominee Information

Add up to 8 websites, publication or video URLs that illustrate your innovation.

If the nominee is the primary contact, select YES. If nominee is appointing a representative to be the primary contact, select NO
Primary Contact Information
Nominee Contact Information
Supplemental Questions
Files must be less than 2 MB.
Allowed file types: gif jpg png.
Additional Information
Video Upload (NOT REQUIRED BUT STRONGLY ENCOURAGED). This feature is designed to promote your work.

Please submit a video answering a pre-set list of curated questions, including how people and organizations can most assist you in your work (with money, time, partnerships, etc). It should take you only a few minutes. NOTE: Although this is not required, we strongly encourage you to submit your video now. We will be promoting the videos of ALL award winners and finalists for sure, and also the videos of those other nominees who choose to send theirs in.

Filming on a smart phone is fine as long as you can be clearly heard and seen. We will be distributing this video library, the 2016 World Technology Award Laureates “Catalytic Community,” to as wide an audience as possible. You are doing extraordinary work. We want millions of people who might not know about it to learn about it and, if appropriate, to help you fulfill your goals.

Click here to view the video questions and simple instructions.

Files must be less than 500 MB.
Allowed file types: avi mov ogg wav mp4 m4v.

After clicking submit you will be directed to our secure page to submit your nomination processing fee.

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