Nominate the peacemaker whom you admire for the 2021 Jerusalem Peace Prize
Name of Nominee
*
First Name
Last Name
Name of person submitting this nomination
*
First Name
Last Name
Date submitted
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-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Rationale for nomination
*
(200 words)
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Contact details of the nominee (if available):
E-mail (nominee)
*
example@example.com
Phone Number
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Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact details of person submitting this nomination:
E-mail (nominator)
*
example@example.com
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Supporting materials
Please attach material to support your nomination and indicate attachments here:
CV
References
Articles
Links
Other
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