NOMINATION FORM

Leaders of Tomorrow

Leaders of Tomorrow is one of the 14 award categories of “Inspiring Women Award 2019”, an

initiative of Women In Leadership (WIL) to acknowledge the remarkable contribution of women

to the society and nation. This category will honor the Female University Students with

outstanding leadership potential to take charge of today and strive for tomorrow.

Candidature Requirements:

 The candidate must be a Bangladeshi Citizen.

 She must be a regular student enrolled in any undergraduate (3rd or Final Year) or post

graduate program.

 Her current academic result (CGPA) must be at least 3.25 on a scale of 4.

 The candidate must have a record of demonstrating promising leadership qualities.

Personal Information

Name: ………………………………………………………………………………………………………………………………..

Father’s Name: …………………………………………………………………………………………………………………..

Mother’s Name: ………………………………………………………………………………………………………………….

Date of Birth: (Day)…………………….. (Month)………………………….. (Year)……….…………………………

National ID No: ……………………………………………...……Passport No: ………………………………………….

Present Address: ………………………………………………………………………………………………………………..

Permanent Address: …..………………………………………………………………………………..……………………..

 Academic Information

University Name: ……………………………………………………………………………………………………………..……..

Department/ Institute: …………………………………………………………………………………………………………..

Course: ………………………………………………………………………………………………………………………………….

Major: ………………………………………………………………………………………………………………………….…..…….

Expected Graduation Year: ……………………………………………………………………………………………..………

Current result ……………………..…….……….. On a Scale of ……………………………………………………………..

Contact Details

Mobile No: (Personal) ……………………………………………… (Emergency)………………………….…………..….

Telephone No. :………………………………………………………………………………………………………………….....….

E-mail: ………………………………………………………………………………………………………………………………...….

Facebook: …………………………………………………………………………………………………………………….……...….

LinkedIn: …………………………………………………………………………………………….……………………………….…

Blog/ Page: ……………..…………..……………………………………………………………………………….……………..…

Leadership Attributes
Please mention your participation in details including years, designation/ role, contribution,
recognition, and name of the club.

Club Participation

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Debate/ Model United Nations (MUN)

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Cultural Activities

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Sports

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Voluntary Work

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Recognition/ Achievement

University Level: ………………………………………………………………………………………………..……..………

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National Level: ….………………………………………………………………………………………………………………

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International Level: ….…………………………………………………………………………………………………………

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 Additional Information

Please share any additional information supporting you individual qualification as the Leaders of
Tomorrow: (i.e. income generating activity or positive contribution toward the society)

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Disclaimer:

 Information about the candidate will only be used for the selection of Leaders of Tomorrow
and Inspiring Women Award 2019.
 WIL will strictly maintain confidentiality of provided information.
 Once nominated by the university authority, the candidate cannot withdraw from the
evaluation process.
 Nominees will be contacted by the organizers for further information (if required).
 Being selected as the Leader of Tomorrow, the Leader will act as a voluntary representative on
behalf of Inspiring Women Award initiatives.
 If any provided information is found false or fabricated, right of participation of the candidate
will be revoked.
 WIL holds the ultimate authority to take any decision deemed necessary for the award.
 Any female university student fulfilling the above-mentioned requirements, can be nominated
(Maximum 5) by the university authority.
 Kindly fill up the form and submit the soft along with the University Recommendation
Letter.

For any further query and submission, details please feel free to contact:

(@): womenaward.bbf@gmail.com

(m): +880 1925 969 444/ +880 1722 077 784