Nomination Form

NOMINEE'S INFORMATION (REQUIRED)

Nominee’s Name

First Name

Last Name

Nominee’s Phone

Country

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Nominee’s Email

Nominee’s Country of Residence

NOMINATOR'S INFORMATION (IF APPLICABLE)

Nominator’s Name:

First Name

Last Name

Nominator’s Email

Nominator’s Phone

Country

(###)

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QUESTIONS

Please note: Your responses to these questions will be used verbatim to describe the nominee’s work on the public voting page and the Z3 Project website during Phase 1 and beyond. Each question must be answered thoughtfully. Submissions with identical, copy-pasted responses across multiple questions will be disqualified.

What qualities make the nominee deserving of the Z3 Bridge Builder Award? Please describe the specific efforts or initiatives led by the nominee within the Jewish community to bridge divides and foster unity and understanding.

(Max. 500 words)

In what ways has the nominee demonstrated exceptional leadership and commitment to their work in bridging divides?

(Max. 500 words)

How has the nominee's work impacted the Jewish community and beyond?

(Max. 500 Words)

Nominee Consent Confirmation

By checking this box, you confirm that the nominee has given their consent to be submitted for this award. You also acknowledge that if the nominee advances to Phase 1 or beyond, their name and headshot will be shared on the public voting page, and may be used for award promotion purposes on the Z3 Project website and social media channels.

I Agree

How did you learn about the Z3 Bridge Builder Award? (Optional)

Nomination Form

Z3 Project is an initiative of the Oshman Family JCC. Z3 is a registered trademark.