Nomination Form


Local Organization


There is no option to save an incomplete application and return to it at a later date. As such, please read the entire application through first and prepare all the information needed, as well as accompanying files

and documents. After completing the form please press the “Send” button ONCE and wait patiently for confirmation. Good luck!

Click here to download the application form in its entirety

פרטי המיזם - מקומי - EN

Initiative details (required fields are marked with an *)

Does the organization have impact and presence on social media? If so please provide relevant links below

Applicant Details


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