{"id":223,"date":"2026-05-12T10:53:32","date_gmt":"2026-05-12T10:53:32","guid":{"rendered":"https:\/\/temvelo.co.za\/?page_id=223"},"modified":"2026-09-19T14:16:39","modified_gmt":"2026-09-19T14:16:39","slug":"nominations-applications-forms","status":"publish","type":"page","link":"https:\/\/temvelo.co.za\/?page_id=223","title":{"rendered":"Nominations \/ Applications Forms"},"content":{"rendered":"\n<p class=\"has-text-align-center has-large-font-size wp-block-paragraph\"><strong>Welcome to the Temvelo Environmental Awards nominations and applications portal.<\/strong><\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><strong>This page provides access to the official forms required to submit nominations, applications, and supporting information for the Temvelo Environmental Awards \u2013 Symposium &amp; Expo. Please select the relevant form below and complete all required sections carefully to ensure your submission is properly received and reviewed.<\/strong><\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><strong>Applicants and nominators are encouraged to provide clear, detailed responses and include any supporting materials that demonstrate environmental impact, innovation, leadership, and measurable outcomes.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center alignfull has-nv-site-bg-color has-text-color has-background has-link-color wp-elements-1\" style=\"background-color:#1b9f00\">Business Category Application Form<\/h2>\n\n\n<p><div class=\"forminator-ui forminator-custom-form forminator-custom-form-2244 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-2244\" data-uid=\"6ab7113b2b4f4\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-2244\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-2244 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"2244\"\n\t\t\t\tenctype=\"multipart\/form-data\" data-color-option=\"theme\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"6ab7113b2b4f4\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"html-1\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-1\"><div class=\"temvelo-header\">\n<h1>TEMVELO AWARDS 2026<\/h1>\n<h2>Application \/ Nomination Form | Business<\/h2>\n<div class=\"temvelo-scoreline\">4 SCORED QUESTIONS | 100 POINTS | EVIDENCE-LED<\/div>\n<p>Tell one clear story. Use numbers where available and provide only evidence that supports your claims.<\/p>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-2\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-2\"><div class=\"temvelo-section-title\">1. SELECT ONE AWARD CATEGORY<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-1\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-1-6ab7113b2b4f4-label\"><span id=\"forminator-radiogroup-radio-1-6ab7113b2b4f4-label\" class=\"forminator-label\">Award Category <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-6ab7113b2b4f4\" class=\"forminator-radio\" title=\"Logistics Sustainability Award\"><input type=\"radio\" name=\"radio-1\" value=\"Logistics Sustainability Award\" id=\"forminator-field-radio-1-1-6ab7113b2b4f4\" aria-labelledby=\"forminator-field-radio-1-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Logistics Sustainability Award<\/span><\/label><label id=\"forminator-field-radio-1-label-2\" for=\"forminator-field-radio-1-2-6ab7113b2b4f4\" class=\"forminator-radio\" title=\"Sustainable Business Award for SMEs and Startups\"><input type=\"radio\" name=\"radio-1\" value=\"Sustainable Business Award for SMEs and Startups\" id=\"forminator-field-radio-1-2-6ab7113b2b4f4\" aria-labelledby=\"forminator-field-radio-1-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Sustainable Business Award for SMEs and Startups<\/span><\/label><label id=\"forminator-field-radio-1-label-3\" for=\"forminator-field-radio-1-3-6ab7113b2b4f4\" class=\"forminator-radio\" title=\"Retail Sustainability - Sustainable Clothing Retailer of the Year\"><input type=\"radio\" name=\"radio-1\" value=\"Retail Sustainability - Sustainable Clothing Retailer of the Year\" id=\"forminator-field-radio-1-3-6ab7113b2b4f4\" aria-labelledby=\"forminator-field-radio-1-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Retail Sustainability &#8211; Sustainable Clothing Retailer of the Year<\/span><\/label><label id=\"forminator-field-radio-1-label-4\" for=\"forminator-field-radio-1-4-6ab7113b2b4f4\" class=\"forminator-radio\" title=\"Retail Sustainability - Eco-Friendly Grocery Store of the Year\"><input type=\"radio\" name=\"radio-1\" value=\"Retail Sustainability - Eco-Friendly Grocery Store of the Year\" id=\"forminator-field-radio-1-4-6ab7113b2b4f4\" aria-labelledby=\"forminator-field-radio-1-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Retail Sustainability &#8211; Eco-Friendly Grocery Store of the Year<\/span><\/label><label id=\"forminator-field-radio-1-label-5\" for=\"forminator-field-radio-1-5-6ab7113b2b4f4\" class=\"forminator-radio\" title=\"Green Finance Award\"><input type=\"radio\" name=\"radio-1\" value=\"Green Finance Award\" id=\"forminator-field-radio-1-5-6ab7113b2b4f4\" aria-labelledby=\"forminator-field-radio-1-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Green Finance Award<\/span><\/label><label id=\"forminator-field-radio-1-label-6\" for=\"forminator-field-radio-1-6-6ab7113b2b4f4\" class=\"forminator-radio\" title=\"Product Innovation Award\"><input type=\"radio\" name=\"radio-1\" value=\"Product Innovation Award\" id=\"forminator-field-radio-1-6-6ab7113b2b4f4\" aria-labelledby=\"forminator-field-radio-1-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Product Innovation Award<\/span><\/label><label id=\"forminator-field-radio-1-label-7\" for=\"forminator-field-radio-1-7-6ab7113b2b4f4\" class=\"forminator-radio\" title=\"Green Hospitality - Eco-Lodge Leadership Award\"><input type=\"radio\" name=\"radio-1\" value=\"Green Hospitality - Eco-Lodge Leadership Award\" id=\"forminator-field-radio-1-7-6ab7113b2b4f4\" aria-labelledby=\"forminator-field-radio-1-label-7\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Green Hospitality &#8211; Eco-Lodge Leadership Award<\/span><\/label><label id=\"forminator-field-radio-1-label-8\" for=\"forminator-field-radio-1-8-6ab7113b2b4f4\" class=\"forminator-radio\" title=\"Green Hospitality - Sustainable Guest House Champion Award\"><input type=\"radio\" name=\"radio-1\" value=\"Green Hospitality - Sustainable Guest House Champion Award\" id=\"forminator-field-radio-1-8-6ab7113b2b4f4\" aria-labelledby=\"forminator-field-radio-1-label-8\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Green Hospitality &#8211; Sustainable Guest House Champion Award<\/span><\/label><label id=\"forminator-field-radio-1-label-9\" for=\"forminator-field-radio-1-9-6ab7113b2b4f4\" class=\"forminator-radio\" title=\"Green Hospitality - Green Hotel Excellence Award\"><input type=\"radio\" name=\"radio-1\" value=\"Green Hospitality - Green Hotel Excellence Award\" id=\"forminator-field-radio-1-9-6ab7113b2b4f4\" aria-labelledby=\"forminator-field-radio-1-label-9\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Green Hospitality &#8211; Green Hotel Excellence Award<\/span><\/label><label id=\"forminator-field-radio-1-label-10\" for=\"forminator-field-radio-1-10-6ab7113b2b4f4\" class=\"forminator-radio\" title=\"Green Hospitality - Eco-Friendly Restaurant of the Year\"><input type=\"radio\" name=\"radio-1\" value=\"Green Hospitality - Eco-Friendly Restaurant of the Year\" id=\"forminator-field-radio-1-10-6ab7113b2b4f4\" aria-labelledby=\"forminator-field-radio-1-label-10\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Green Hospitality &#8211; Eco-Friendly Restaurant of the Year<\/span><\/label><label id=\"forminator-field-radio-1-label-11\" for=\"forminator-field-radio-1-11-6ab7113b2b4f4\" class=\"forminator-radio\" title=\"Green Procurement Award\"><input type=\"radio\" name=\"radio-1\" value=\"Green Procurement Award\" id=\"forminator-field-radio-1-11-6ab7113b2b4f4\" aria-labelledby=\"forminator-field-radio-1-label-11\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Green Procurement Award<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-3\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-3\"><p class=\"temvelo-note\">Place an X in one box.<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-4\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-4\"><div class=\"temvelo-section-title\">2. ENTRY DETAILS<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-6 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-6ab7113b2b4f4-label\"><span id=\"forminator-radiogroup-radio-2-6ab7113b2b4f4-label\" class=\"forminator-label\">Entry type <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-6ab7113b2b4f4\" class=\"forminator-radio forminator-radio-inline\" title=\"Self-application\"><input type=\"radio\" name=\"radio-2\" value=\"Self-application\" id=\"forminator-field-radio-2-1-6ab7113b2b4f4\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Self-application<\/span><\/label><label id=\"forminator-field-radio-2-label-2\" for=\"forminator-field-radio-2-2-6ab7113b2b4f4\" class=\"forminator-radio forminator-radio-inline\" title=\"Third-party nomination\"><input type=\"radio\" name=\"radio-2\" value=\"Third-party nomination\" id=\"forminator-field-radio-2-2-6ab7113b2b4f4\" aria-labelledby=\"forminator-field-radio-2-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Third-party nomination<\/span><\/label><\/div><\/div><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_6ab7113b2b4f4\" id=\"forminator-field-text-3_6ab7113b2b4f4-label\" class=\"forminator-label\">Nominee \/ organisation <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-3\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-3_6ab7113b2b4f4\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_6ab7113b2b4f4\" id=\"forminator-field-text-2_6ab7113b2b4f4-label\" class=\"forminator-label\">Contact person and position <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-2\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-2_6ab7113b2b4f4\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_6ab7113b2b4f4\" id=\"forminator-field-text-4_6ab7113b2b4f4-label\" class=\"forminator-label\">Telephone<\/label><input type=\"text\" name=\"text-4\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-4_6ab7113b2b4f4\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-6\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-6_6ab7113b2b4f4\" id=\"forminator-field-text-6_6ab7113b2b4f4-label\" class=\"forminator-label\">Email<\/label><input type=\"text\" name=\"text-6\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-6_6ab7113b2b4f4\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_6ab7113b2b4f4\" id=\"forminator-field-text-5_6ab7113b2b4f4-label\" class=\"forminator-label\">Region and town \/ locality<\/label><input type=\"text\" name=\"text-5\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-5_6ab7113b2b4f4\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-10\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-10_6ab7113b2b4f4\" id=\"forminator-field-text-10_6ab7113b2b4f4-label\" class=\"forminator-label\">Initiative \/ achievement title<\/label><input type=\"text\" name=\"text-10\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-10_6ab7113b2b4f4\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-9\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-9_6ab7113b2b4f4\" id=\"forminator-field-text-9_6ab7113b2b4f4-label\" class=\"forminator-label\">Start date and status<\/label><input type=\"text\" name=\"text-9\" value=\"Month\/year; ongoing or completed\" placeholder=\"\" id=\"forminator-field-text-9_6ab7113b2b4f4\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-8\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-8_6ab7113b2b4f4\" id=\"forminator-field-text-8_6ab7113b2b4f4-label\" class=\"forminator-label\">Website or social-media link<\/label><input type=\"text\" name=\"text-8\" value=\"Optional\" placeholder=\"\" id=\"forminator-field-text-8_6ab7113b2b4f4\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-7\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-7_6ab7113b2b4f4\" id=\"forminator-field-text-7_6ab7113b2b4f4-label\" class=\"forminator-label\">Nominator name, relationship and contact<\/label><input type=\"text\" name=\"text-7\" value=\"Only for third-party nominations\" placeholder=\"\" id=\"forminator-field-text-7_6ab7113b2b4f4\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-5\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-5\"><div class=\"temvelo-section-title\">3. ELIGIBILITY CHECK<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-6ab7113b2b4f4-label\"><label id=\"forminator-field-checkbox-1-1-6ab7113b2b4f4-label\" for=\"forminator-field-checkbox-1-1-6ab7113b2b4f4\" class=\"forminator-checkbox\" title=\"The work was carried out in, or directly benefits, South Africa\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"The work was carried out in, or directly benefits, South Africa\" id=\"forminator-field-checkbox-1-1-6ab7113b2b4f4\" aria-labelledby=\"forminator-field-checkbox-1-1-6ab7113b2b4f4-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">The work was carried out in, or directly benefits, South Africa<\/span><\/label><label id=\"forminator-field-checkbox-1-2-6ab7113b2b4f4-label\" for=\"forminator-field-checkbox-1-2-6ab7113b2b4f4\" class=\"forminator-checkbox\" title=\"The initiative was active or produced results during 2023-2026.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"The initiative was active or produced results during 2023-2026.\" id=\"forminator-field-checkbox-1-2-6ab7113b2b4f4\" aria-labelledby=\"forminator-field-checkbox-1-2-6ab7113b2b4f4-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">The initiative was active or produced results during 2023-2026.<\/span><\/label><label id=\"forminator-field-checkbox-1-3-6ab7113b2b4f4-label\" for=\"forminator-field-checkbox-1-3-6ab7113b2b4f4\" class=\"forminator-checkbox\" title=\"The nominee or organisation permits this entry and the information can be verified.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"The nominee or organisation permits this entry and the information can be verified.\" id=\"forminator-field-checkbox-1-3-6ab7113b2b4f4\" aria-labelledby=\"forminator-field-checkbox-1-3-6ab7113b2b4f4-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">The nominee or organisation permits this entry and the information can be verified.<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-7\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-7\"><div class=\"temvelo-section-title\">4. HOW THE ENTRY WILL BE JUDGED<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-6\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-6\"><div class=\"judging-grid\">\n    <div class=\"judging-item\">\n        <strong>Project merit and relevance<\/strong>\n        <span>20 points<\/span>\n    <\/div>\n\n    <div class=\"judging-item\">\n        <strong>Impact, evidence and why it should win<\/strong>\n        <span>35 points<\/span>\n    <\/div>\n\n    <div class=\"judging-item\">\n        <strong>Scalability \/ transferability<\/strong>\n        <span>20 points<\/span>\n    <\/div>\n\n    <div class=\"judging-item\">\n        <strong>Sustainability and lasting value<\/strong>\n        <span>25 points<\/span>\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-8\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-8\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 1 | The initiative and its merit<\/span>\n        <strong>20 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        Describe the business initiative, product or service and the environmental need it addresses. State when it started, who is involved, and what is innovative or beyond business as usual.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-1\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-1_6ab7113b2b4f4\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-9\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-9\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 2 | Why this entry should win<\/span>\n        <strong>35 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        Why should this entry win? Give the strongest measured results and evidence. These may include reduced waste, water, energy or emissions; circular use of materials; greener supply chains; customer or staff behaviour; jobs; savings; revenue; or community benefits.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-2\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-2\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-2_6ab7113b2b4f4\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-10\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-10\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 3 | Scalability \/ transferability<\/span>\n        <strong>20 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        How can the initiative grow within the business, reach more customers or be replicated by other businesses? Explain the market opportunity and the resources, partnerships or systems needed.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-3\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-3\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-3_6ab7113b2b4f4\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-11\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-11\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 4 | Sustainability and lasting value<\/span>\n        <strong>25 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        How will the initiative remain environmentally and financially sustainable? Explain ownership, financing, staff capacity, maintenance, supply arrangements, monitoring, risks and future targets.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-4\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-4\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-4_6ab7113b2b4f4\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-12\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-12\"><div class=\"temvelo-section-title\">SUPPORTING EVIDENCE<\/div>\n\n<p class=\"temvelo-section-description\">\nList up to five strong items that verify the results in your answers. Links are preferred; attachments must total no more than 10 MB. Shortlisted entrants may be asked for further verification and a short video.\n<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-1\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-1_6ab7113b2b4f4\" id=\"forminator-field-upload-1_6ab7113b2b4f4-label\" class=\"forminator-label\">Upload file<\/label><div class=\"forminator-file-upload \" data-element=\"upload-1_6ab7113b2b4f4\"><input type=\"file\" name=\"upload-1\" id=\"forminator-field-upload-1_6ab7113b2b4f4\" class=\"forminator-input-file\" accept=\".jpg,.jpeg,.jpe,.gif,.png,.bmp,.tiff,.tif,.webp,.avif,.ico,.heic,.heif,.heics,.heifs,.asf,.asx,.wmv,.wmx,.wm,.avi,.divx,.flv,.mov,.qt,.mpeg,.mpg,.mpe,.mp4,.m4v,.ogv,.webm,.mkv,.3gp,.3gpp,.3g2,.3gp2,.txt,.asc,.c,.cc,.h,.srt,.csv,.tsv,.ics,.rtx,.vtt,.mp3,.m4a,.m4b,.aac,.ra,.ram,.wav,.x-wav,.ogg,.oga,.flac,.mid,.midi,.wma,.wax,.mka,.rtf,.pdf,.class,.tar,.zip,.gz,.gzip,.7z,.psd,.xcf,.doc,.pot,.pps,.ppt,.wri,.xla,.xls,.xlt,.xlw,.mdb,.mpp,.docx,.docm,.dotx,.dotm,.xlsx,.xlsm,.xlsb,.xltx,.xltm,.xlam,.pptx,.pptm,.ppsx,.ppsm,.potx,.potm,.ppam,.sldx,.sldm,.onetoc,.onetoc2,.onetmp,.onepkg,.oxps,.xps,.odt,.odp,.ods,.odg,.odc,.odb,.odf,.wp,.wpd,.key,.numbers,.pages\" tabindex=\"-1\"><button id=\"forminator-field-upload-1_6ab7113b2b4f4_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-1_6ab7113b2b4f4\">Choose File<\/button><span data-empty-text=\"No file chosen\">No file chosen<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Delete uploaded file<\/span><\/button><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-11\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-11_6ab7113b2b4f4\" id=\"forminator-field-text-11_6ab7113b2b4f4-label\" class=\"forminator-label\">Evidence \/ link 1 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-11\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-11_6ab7113b2b4f4\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-12\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-12_6ab7113b2b4f4\" id=\"forminator-field-text-12_6ab7113b2b4f4-label\" class=\"forminator-label\">Evidence \/ link 2 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-12\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-12_6ab7113b2b4f4\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-13\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-13_6ab7113b2b4f4\" id=\"forminator-field-text-13_6ab7113b2b4f4-label\" class=\"forminator-label\">Evidence \/ link 3 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-13\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-13_6ab7113b2b4f4\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-14\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-14_6ab7113b2b4f4\" id=\"forminator-field-text-14_6ab7113b2b4f4-label\" class=\"forminator-label\">Evidence \/ link 4<\/label><input type=\"text\" name=\"text-14\" value=\"Optional\" placeholder=\"\" id=\"forminator-field-text-14_6ab7113b2b4f4\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-15\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-15_6ab7113b2b4f4\" id=\"forminator-field-text-15_6ab7113b2b4f4-label\" class=\"forminator-label\">Evidence \/ link 5<\/label><input type=\"text\" name=\"text-15\" value=\"Optional\" placeholder=\"\" id=\"forminator-field-text-15_6ab7113b2b4f4\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-16\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-16_6ab7113b2b4f4\" id=\"forminator-field-text-16_6ab7113b2b4f4-label\" class=\"forminator-label\">Access code or attachment names<\/label><input type=\"text\" name=\"text-16\" value=\"If applicable\" placeholder=\"\" id=\"forminator-field-text-16_6ab7113b2b4f4\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-13\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-13\"><div class=\"temvelo-section-title\">DECLARATION AND CONSENT<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-2\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-2-6ab7113b2b4f4-label\"><label id=\"forminator-field-checkbox-2-1-6ab7113b2b4f4-label\" for=\"forminator-field-checkbox-2-1-6ab7113b2b4f4\" class=\"forminator-checkbox\" title=\"I confirm that the information in this form is accurate and may be verified by the judging panel.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"I confirm that the information in this form is accurate and may be verified by the judging panel.\" id=\"forminator-field-checkbox-2-1-6ab7113b2b4f4\" aria-labelledby=\"forminator-field-checkbox-2-1-6ab7113b2b4f4-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I confirm that the information in this form is accurate and may be verified by the judging panel.<\/span><\/label><label id=\"forminator-field-checkbox-2-2-6ab7113b2b4f4-label\" for=\"forminator-field-checkbox-2-2-6ab7113b2b4f4\" class=\"forminator-checkbox\" title=\"I have authority to submit this application or nomination and the supporting material.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"I have authority to submit this application or nomination and the supporting material.\" id=\"forminator-field-checkbox-2-2-6ab7113b2b4f4\" aria-labelledby=\"forminator-field-checkbox-2-2-6ab7113b2b4f4-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I have authority to submit this application or nomination and the supporting material.<\/span><\/label><label id=\"forminator-field-checkbox-2-3-6ab7113b2b4f4-label\" for=\"forminator-field-checkbox-2-3-6ab7113b2b4f4\" class=\"forminator-checkbox\" title=\"I understand that shortlisted or winning entries may be publicised, subject to any confidentiality clearly identified in the submission.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"I understand that shortlisted or winning entries may be publicised, subject to any confidentiality clearly identified in the submission.\" id=\"forminator-field-checkbox-2-3-6ab7113b2b4f4\" aria-labelledby=\"forminator-field-checkbox-2-3-6ab7113b2b4f4-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I understand that shortlisted or winning entries may be publicised, subject to any confidentiality clearly identified in the submission.<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-17\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-17_6ab7113b2b4f4\" id=\"forminator-field-text-17_6ab7113b2b4f4-label\" class=\"forminator-label\">Name<\/label><input type=\"text\" name=\"text-17\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-17_6ab7113b2b4f4\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-18\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-18_6ab7113b2b4f4\" id=\"forminator-field-text-18_6ab7113b2b4f4-label\" class=\"forminator-label\">Capacity<\/label><input type=\"text\" name=\"text-18\" value=\"Nominee \/ nominator \/ authorised representative\" placeholder=\"\" id=\"forminator-field-text-18_6ab7113b2b4f4\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-20\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-20_6ab7113b2b4f4\" id=\"forminator-field-text-20_6ab7113b2b4f4-label\" class=\"forminator-label\">Signature<\/label><input type=\"text\" name=\"text-20\" value=\"Sign or type full name\" placeholder=\"\" id=\"forminator-field-text-20_6ab7113b2b4f4\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-19\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-19_6ab7113b2b4f4\" id=\"forminator-field-text-19_6ab7113b2b4f4-label\" class=\"forminator-label\">Date<\/label><input type=\"text\" name=\"text-19\" value=\"DD\/MM\/YYYY\" placeholder=\"\" id=\"forminator-field-text-19_6ab7113b2b4f4\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Submit<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"b40bb73788\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F223\" \/><input type=\"hidden\" name=\"form_id\" value=\"2244\"><input type=\"hidden\" name=\"page_id\" value=\"223\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/temvelo.co.za\/?page_id=223\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center alignfull has-nv-site-bg-color has-text-color has-background has-link-color wp-elements-2\" style=\"background-color:#1b9f00\">Academic Institutions Application Form<\/h2>\n\n\n<p><div class=\"forminator-ui forminator-custom-form forminator-custom-form-2240 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-2240\" data-uid=\"6ab7113b310eb\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-2240\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-2240 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"2240\"\n\t\t\t\tenctype=\"multipart\/form-data\" data-color-option=\"theme\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"6ab7113b310eb\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"html-1\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-1\"><div class=\"temvelo-header\">\n<h1>TEMVELO AWARDS 2026<\/h1>\n<h2>Application \/ Nomination Form | Academic Institutions<\/h2>\n<div class=\"temvelo-scoreline\">4 SCORED QUESTIONS | 100 POINTS | EVIDENCE-LED<\/div>\n<p>Tell one clear story. Use numbers where available and provide only evidence that supports your claims.<\/p>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-2\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-2\"><div class=\"temvelo-section-title\">1. SELECT ONE AWARD CATEGORY<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-1\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-1-6ab7113b310eb-label\"><span id=\"forminator-radiogroup-radio-1-6ab7113b310eb-label\" class=\"forminator-label\">Award Category <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-6ab7113b310eb\" class=\"forminator-radio\" title=\"Green Primary School Award\"><input type=\"radio\" name=\"radio-1\" value=\"Green Primary School Award\" id=\"forminator-field-radio-1-1-6ab7113b310eb\" aria-labelledby=\"forminator-field-radio-1-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Green Primary School Award<\/span><\/label><label id=\"forminator-field-radio-1-label-2\" for=\"forminator-field-radio-1-2-6ab7113b310eb\" class=\"forminator-radio\" title=\"Green High School Award\"><input type=\"radio\" name=\"radio-1\" value=\"Green High School Award\" id=\"forminator-field-radio-1-2-6ab7113b310eb\" aria-labelledby=\"forminator-field-radio-1-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Green High School Award<\/span><\/label><label id=\"forminator-field-radio-1-label-3\" for=\"forminator-field-radio-1-3-6ab7113b310eb\" class=\"forminator-radio\" title=\"Green Tertiary Institution (TVET\/College)\"><input type=\"radio\" name=\"radio-1\" value=\"Green Tertiary Institution (TVET\/College)\" id=\"forminator-field-radio-1-3-6ab7113b310eb\" aria-labelledby=\"forminator-field-radio-1-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Green Tertiary Institution (TVET\/College)<\/span><\/label><label id=\"forminator-field-radio-1-label-4\" for=\"forminator-field-radio-1-4-6ab7113b310eb\" class=\"forminator-radio\" title=\"Green Tertiary Institution (University)\"><input type=\"radio\" name=\"radio-1\" value=\"Green Tertiary Institution (University)\" id=\"forminator-field-radio-1-4-6ab7113b310eb\" aria-labelledby=\"forminator-field-radio-1-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Green Tertiary Institution (University)<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-3\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-3\"><p class=\"temvelo-note\">Place an X in one box.<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-4\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-4\"><div class=\"temvelo-section-title\">2. ENTRY DETAILS<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-6 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-6ab7113b310eb-label\"><span id=\"forminator-radiogroup-radio-2-6ab7113b310eb-label\" class=\"forminator-label\">Entry type <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-6ab7113b310eb\" class=\"forminator-radio forminator-radio-inline\" title=\"Self-application\"><input type=\"radio\" name=\"radio-2\" value=\"Self-application\" id=\"forminator-field-radio-2-1-6ab7113b310eb\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Self-application<\/span><\/label><label id=\"forminator-field-radio-2-label-2\" for=\"forminator-field-radio-2-2-6ab7113b310eb\" class=\"forminator-radio forminator-radio-inline\" title=\"Third-party nomination\"><input type=\"radio\" name=\"radio-2\" value=\"Third-party nomination\" id=\"forminator-field-radio-2-2-6ab7113b310eb\" aria-labelledby=\"forminator-field-radio-2-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Third-party nomination<\/span><\/label><\/div><\/div><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_6ab7113b310eb\" id=\"forminator-field-text-3_6ab7113b310eb-label\" class=\"forminator-label\">Nominee \/ organisation <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-3\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-3_6ab7113b310eb\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_6ab7113b310eb\" id=\"forminator-field-text-2_6ab7113b310eb-label\" class=\"forminator-label\">Contact person and position <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-2\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-2_6ab7113b310eb\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_6ab7113b310eb\" id=\"forminator-field-text-4_6ab7113b310eb-label\" class=\"forminator-label\">Telephone<\/label><input type=\"text\" name=\"text-4\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-4_6ab7113b310eb\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-6\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-6_6ab7113b310eb\" id=\"forminator-field-text-6_6ab7113b310eb-label\" class=\"forminator-label\">Email<\/label><input type=\"text\" name=\"text-6\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-6_6ab7113b310eb\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_6ab7113b310eb\" id=\"forminator-field-text-5_6ab7113b310eb-label\" class=\"forminator-label\">Region and town \/ locality<\/label><input type=\"text\" name=\"text-5\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-5_6ab7113b310eb\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-10\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-10_6ab7113b310eb\" id=\"forminator-field-text-10_6ab7113b310eb-label\" class=\"forminator-label\">Initiative \/ achievement title<\/label><input type=\"text\" name=\"text-10\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-10_6ab7113b310eb\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-9\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-9_6ab7113b310eb\" id=\"forminator-field-text-9_6ab7113b310eb-label\" class=\"forminator-label\">Start date and status<\/label><input type=\"text\" name=\"text-9\" value=\"Month\/year; ongoing or completed\" placeholder=\"\" id=\"forminator-field-text-9_6ab7113b310eb\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-8\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-8_6ab7113b310eb\" id=\"forminator-field-text-8_6ab7113b310eb-label\" class=\"forminator-label\">Website or social-media link<\/label><input type=\"text\" name=\"text-8\" value=\"Optional\" placeholder=\"\" id=\"forminator-field-text-8_6ab7113b310eb\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-7\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-7_6ab7113b310eb\" id=\"forminator-field-text-7_6ab7113b310eb-label\" class=\"forminator-label\">Nominator name, relationship and contact<\/label><input type=\"text\" name=\"text-7\" value=\"Only for third-party nominations\" placeholder=\"\" id=\"forminator-field-text-7_6ab7113b310eb\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-5\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-5\"><div class=\"temvelo-section-title\">3. ELIGIBILITY CHECK<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-6ab7113b310eb-label\"><label id=\"forminator-field-checkbox-1-1-6ab7113b310eb-label\" for=\"forminator-field-checkbox-1-1-6ab7113b310eb\" class=\"forminator-checkbox\" title=\"The work was carried out in, or directly benefits, South Africa\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"The work was carried out in, or directly benefits, South Africa\" id=\"forminator-field-checkbox-1-1-6ab7113b310eb\" aria-labelledby=\"forminator-field-checkbox-1-1-6ab7113b310eb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">The work was carried out in, or directly benefits, South Africa<\/span><\/label><label id=\"forminator-field-checkbox-1-2-6ab7113b310eb-label\" for=\"forminator-field-checkbox-1-2-6ab7113b310eb\" class=\"forminator-checkbox\" title=\"The initiative was active or produced results during 2023-2026.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"The initiative was active or produced results during 2023-2026.\" id=\"forminator-field-checkbox-1-2-6ab7113b310eb\" aria-labelledby=\"forminator-field-checkbox-1-2-6ab7113b310eb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">The initiative was active or produced results during 2023-2026.<\/span><\/label><label id=\"forminator-field-checkbox-1-3-6ab7113b310eb-label\" for=\"forminator-field-checkbox-1-3-6ab7113b310eb\" class=\"forminator-checkbox\" title=\"The nominee or organisation permits this entry and the information can be verified.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"The nominee or organisation permits this entry and the information can be verified.\" id=\"forminator-field-checkbox-1-3-6ab7113b310eb\" aria-labelledby=\"forminator-field-checkbox-1-3-6ab7113b310eb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">The nominee or organisation permits this entry and the information can be verified.<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-7\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-7\"><div class=\"temvelo-section-title\">4. HOW THE ENTRY WILL BE JUDGED<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-6\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-6\"><div class=\"judging-grid\">\n    <div class=\"judging-item\">\n        <strong>Project merit and relevance<\/strong>\n        <span>20 points<\/span>\n    <\/div>\n\n    <div class=\"judging-item\">\n        <strong>Impact, evidence and why it should win<\/strong>\n        <span>35 points<\/span>\n    <\/div>\n\n    <div class=\"judging-item\">\n        <strong>Scalability \/ transferability<\/strong>\n        <span>20 points<\/span>\n    <\/div>\n\n    <div class=\"judging-item\">\n        <strong>Sustainability and lasting value<\/strong>\n        <span>25 points<\/span>\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-8\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-8\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 1 | The initiative and its merit<\/span>\n        <strong>20 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        Describe the green initiative and the environmental need it addresses. State where and when it started, who leads and participates in it, and what is new or distinctive about the approach.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-1\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-1_6ab7113b310eb\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-9\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-9\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 2 | Why this entry should win<\/span>\n        <strong>35 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        Why should this institution&#8217;s initiative win? Give the strongest measured results and evidence. These may include reductions in waste, water or energy use; biodiversity or climate benefits; learner participation; behaviour change; cost savings; or community benefits.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-2\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-2\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-2_6ab7113b310eb\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-10\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-10\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 3 | Scalability \/ transferability<\/span>\n        <strong>20 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        How can the initiative be expanded across the institution or copied by other schools, colleges or universities? Explain what would be needed, such as skills, partners, funding, equipment or learning materials.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-3\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-3\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-3_6ab7113b310eb\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-11\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-11\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 4 | Sustainability and lasting value<\/span>\n        <strong>25 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        How will the institution keep the initiative and its benefits going? Explain ownership, budgets or resources, maintenance, integration into learning or operations, monitoring, and the next targets.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-4\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-4\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-4_6ab7113b310eb\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-12\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-12\"><div class=\"temvelo-section-title\">SUPPORTING EVIDENCE<\/div>\n\n<p class=\"temvelo-section-description\">\nList up to five strong items that verify the results in your answers. Links are preferred; attachments must total no more than 10 MB. Shortlisted entrants may be asked for further verification and a short video.\n<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-1\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-1_6ab7113b310eb\" id=\"forminator-field-upload-1_6ab7113b310eb-label\" class=\"forminator-label\">Upload file<\/label><div class=\"forminator-file-upload \" data-element=\"upload-1_6ab7113b310eb\"><input type=\"file\" name=\"upload-1\" id=\"forminator-field-upload-1_6ab7113b310eb\" class=\"forminator-input-file\" accept=\".jpg,.jpeg,.jpe,.gif,.png,.bmp,.tiff,.tif,.webp,.avif,.ico,.heic,.heif,.heics,.heifs,.asf,.asx,.wmv,.wmx,.wm,.avi,.divx,.flv,.mov,.qt,.mpeg,.mpg,.mpe,.mp4,.m4v,.ogv,.webm,.mkv,.3gp,.3gpp,.3g2,.3gp2,.txt,.asc,.c,.cc,.h,.srt,.csv,.tsv,.ics,.rtx,.vtt,.mp3,.m4a,.m4b,.aac,.ra,.ram,.wav,.x-wav,.ogg,.oga,.flac,.mid,.midi,.wma,.wax,.mka,.rtf,.pdf,.class,.tar,.zip,.gz,.gzip,.7z,.psd,.xcf,.doc,.pot,.pps,.ppt,.wri,.xla,.xls,.xlt,.xlw,.mdb,.mpp,.docx,.docm,.dotx,.dotm,.xlsx,.xlsm,.xlsb,.xltx,.xltm,.xlam,.pptx,.pptm,.ppsx,.ppsm,.potx,.potm,.ppam,.sldx,.sldm,.onetoc,.onetoc2,.onetmp,.onepkg,.oxps,.xps,.odt,.odp,.ods,.odg,.odc,.odb,.odf,.wp,.wpd,.key,.numbers,.pages\" tabindex=\"-1\"><button id=\"forminator-field-upload-1_6ab7113b310eb_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-1_6ab7113b310eb\">Choose File<\/button><span data-empty-text=\"No file chosen\">No file chosen<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Delete uploaded file<\/span><\/button><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-11\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-11_6ab7113b310eb\" id=\"forminator-field-text-11_6ab7113b310eb-label\" class=\"forminator-label\">Evidence \/ link 1 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-11\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-11_6ab7113b310eb\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-12\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-12_6ab7113b310eb\" id=\"forminator-field-text-12_6ab7113b310eb-label\" class=\"forminator-label\">Evidence \/ link 2 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-12\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-12_6ab7113b310eb\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-13\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-13_6ab7113b310eb\" id=\"forminator-field-text-13_6ab7113b310eb-label\" class=\"forminator-label\">Evidence \/ link 3 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-13\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-13_6ab7113b310eb\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-14\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-14_6ab7113b310eb\" id=\"forminator-field-text-14_6ab7113b310eb-label\" class=\"forminator-label\">Evidence \/ link 4<\/label><input type=\"text\" name=\"text-14\" value=\"Optional\" placeholder=\"\" id=\"forminator-field-text-14_6ab7113b310eb\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-15\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-15_6ab7113b310eb\" id=\"forminator-field-text-15_6ab7113b310eb-label\" class=\"forminator-label\">Evidence \/ link 5<\/label><input type=\"text\" name=\"text-15\" value=\"Optional\" placeholder=\"\" id=\"forminator-field-text-15_6ab7113b310eb\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-16\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-16_6ab7113b310eb\" id=\"forminator-field-text-16_6ab7113b310eb-label\" class=\"forminator-label\">Access code or attachment names <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-16\" value=\"If applicable\" placeholder=\"\" id=\"forminator-field-text-16_6ab7113b310eb\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-13\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-13\"><div class=\"temvelo-section-title\">DECLARATION AND CONSENT<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-2\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-2-6ab7113b310eb-label\"><label id=\"forminator-field-checkbox-2-1-6ab7113b310eb-label\" for=\"forminator-field-checkbox-2-1-6ab7113b310eb\" class=\"forminator-checkbox\" title=\"I confirm that the information in this form is accurate and may be verified by the judging panel.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"I confirm that the information in this form is accurate and may be verified by the judging panel.\" id=\"forminator-field-checkbox-2-1-6ab7113b310eb\" aria-labelledby=\"forminator-field-checkbox-2-1-6ab7113b310eb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I confirm that the information in this form is accurate and may be verified by the judging panel.<\/span><\/label><label id=\"forminator-field-checkbox-2-2-6ab7113b310eb-label\" for=\"forminator-field-checkbox-2-2-6ab7113b310eb\" class=\"forminator-checkbox\" title=\"I have authority to submit this application or nomination and the supporting material.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"I have authority to submit this application or nomination and the supporting material.\" id=\"forminator-field-checkbox-2-2-6ab7113b310eb\" aria-labelledby=\"forminator-field-checkbox-2-2-6ab7113b310eb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I have authority to submit this application or nomination and the supporting material.<\/span><\/label><label id=\"forminator-field-checkbox-2-3-6ab7113b310eb-label\" for=\"forminator-field-checkbox-2-3-6ab7113b310eb\" class=\"forminator-checkbox\" title=\"I understand that shortlisted or winning entries may be publicised, subject to any confidentiality clearly identified in the submission.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"I understand that shortlisted or winning entries may be publicised, subject to any confidentiality clearly identified in the submission.\" id=\"forminator-field-checkbox-2-3-6ab7113b310eb\" aria-labelledby=\"forminator-field-checkbox-2-3-6ab7113b310eb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I understand that shortlisted or winning entries may be publicised, subject to any confidentiality clearly identified in the submission.<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-17\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-17_6ab7113b310eb\" id=\"forminator-field-text-17_6ab7113b310eb-label\" class=\"forminator-label\">Name<\/label><input type=\"text\" name=\"text-17\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-17_6ab7113b310eb\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-18\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-18_6ab7113b310eb\" id=\"forminator-field-text-18_6ab7113b310eb-label\" class=\"forminator-label\">Capacity<\/label><input type=\"text\" name=\"text-18\" value=\"Nominee \/ nominator \/ authorised representative\" placeholder=\"\" id=\"forminator-field-text-18_6ab7113b310eb\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-20\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-20_6ab7113b310eb\" id=\"forminator-field-text-20_6ab7113b310eb-label\" class=\"forminator-label\">Signature<\/label><input type=\"text\" name=\"text-20\" value=\"Sign or type full name\" placeholder=\"\" id=\"forminator-field-text-20_6ab7113b310eb\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-19\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-19_6ab7113b310eb\" id=\"forminator-field-text-19_6ab7113b310eb-label\" class=\"forminator-label\">Date<\/label><input type=\"text\" name=\"text-19\" value=\"DD\/MM\/YYYY\" placeholder=\"\" id=\"forminator-field-text-19_6ab7113b310eb\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Submit<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"9c0acc548c\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F223\" \/><input type=\"hidden\" name=\"form_id\" value=\"2240\"><input type=\"hidden\" name=\"page_id\" value=\"223\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/temvelo.co.za\/?page_id=223\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center alignfull has-nv-site-bg-color has-text-color has-background has-link-color wp-elements-3\" style=\"background-color:#1b9f00\">Pollution Control Application Form<\/h2>\n\n\n<p><div class=\"forminator-ui forminator-custom-form forminator-custom-form-2261 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-2261\" data-uid=\"6ab7113b36214\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-2261\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-2261 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"2261\"\n\t\t\t\tenctype=\"multipart\/form-data\" data-color-option=\"theme\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"6ab7113b36214\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"html-1\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-1\"><div class=\"temvelo-header\">\n<h1>TEMVELO AWARDS 2026<\/h1>\n<h2>Application \/ Nomination Form | Pollution Control<\/h2>\n<div class=\"temvelo-scoreline\">4 SCORED QUESTIONS | 100 POINTS | EVIDENCE-LED<\/div>\n<p>Tell one clear story. Use numbers where available and provide only evidence that supports your claims.<\/p>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-2\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-2\"><div class=\"temvelo-section-title\">1. SELECT ONE AWARD CATEGORY<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-1\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-1-6ab7113b36214-label\"><span id=\"forminator-radiogroup-radio-1-6ab7113b36214-label\" class=\"forminator-label\">Award Category <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-6ab7113b36214\" class=\"forminator-radio\" title=\"Waste Management Award\"><input type=\"radio\" name=\"radio-1\" value=\"Waste Management Award\" id=\"forminator-field-radio-1-1-6ab7113b36214\" aria-labelledby=\"forminator-field-radio-1-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Waste Management Award<\/span><\/label><label id=\"forminator-field-radio-1-label-2\" for=\"forminator-field-radio-1-2-6ab7113b36214\" class=\"forminator-radio\" title=\"Circular Transition Award\"><input type=\"radio\" name=\"radio-1\" value=\"Circular Transition Award\" id=\"forminator-field-radio-1-2-6ab7113b36214\" aria-labelledby=\"forminator-field-radio-1-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Circular Transition Award<\/span><\/label><label id=\"forminator-field-radio-1-label-3\" for=\"forminator-field-radio-1-3-6ab7113b36214\" class=\"forminator-radio\" title=\"Carbon and Energy Management Award\"><input type=\"radio\" name=\"radio-1\" value=\"Carbon and Energy Management Award\" id=\"forminator-field-radio-1-3-6ab7113b36214\" aria-labelledby=\"forminator-field-radio-1-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Carbon and Energy Management Award<\/span><\/label><label id=\"forminator-field-radio-1-label-4\" for=\"forminator-field-radio-1-4-6ab7113b36214\" class=\"forminator-radio\" title=\"Energy Efficiency Award\"><input type=\"radio\" name=\"radio-1\" value=\"Energy Efficiency Award\" id=\"forminator-field-radio-1-4-6ab7113b36214\" aria-labelledby=\"forminator-field-radio-1-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Energy Efficiency Award<\/span><\/label><label id=\"forminator-field-radio-1-label-5\" for=\"forminator-field-radio-1-5-6ab7113b36214\" class=\"forminator-radio\" title=\"Green Entrepreneur Award\"><input type=\"radio\" name=\"radio-1\" value=\"Green Entrepreneur Award\" id=\"forminator-field-radio-1-5-6ab7113b36214\" aria-labelledby=\"forminator-field-radio-1-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Green Entrepreneur Award<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-3\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-3\"><p class=\"temvelo-note\">Place an X in one box.<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-4\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-4\"><div class=\"temvelo-section-title\">2. ENTRY DETAILS<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-6 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-6ab7113b36214-label\"><span id=\"forminator-radiogroup-radio-2-6ab7113b36214-label\" class=\"forminator-label\">Entry type <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-6ab7113b36214\" class=\"forminator-radio forminator-radio-inline\" title=\"Self-application\"><input type=\"radio\" name=\"radio-2\" value=\"Self-application\" id=\"forminator-field-radio-2-1-6ab7113b36214\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Self-application<\/span><\/label><label id=\"forminator-field-radio-2-label-2\" for=\"forminator-field-radio-2-2-6ab7113b36214\" class=\"forminator-radio forminator-radio-inline\" title=\"Third-party nomination\"><input type=\"radio\" name=\"radio-2\" value=\"Third-party nomination\" id=\"forminator-field-radio-2-2-6ab7113b36214\" aria-labelledby=\"forminator-field-radio-2-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Third-party nomination<\/span><\/label><\/div><\/div><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_6ab7113b36214\" id=\"forminator-field-text-3_6ab7113b36214-label\" class=\"forminator-label\">Nominee \/ organisation <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-3\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-3_6ab7113b36214\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_6ab7113b36214\" id=\"forminator-field-text-2_6ab7113b36214-label\" class=\"forminator-label\">Contact person and position <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-2\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-2_6ab7113b36214\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_6ab7113b36214\" id=\"forminator-field-text-4_6ab7113b36214-label\" class=\"forminator-label\">Telephone<\/label><input type=\"text\" name=\"text-4\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-4_6ab7113b36214\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-6\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-6_6ab7113b36214\" id=\"forminator-field-text-6_6ab7113b36214-label\" class=\"forminator-label\">Email<\/label><input type=\"text\" name=\"text-6\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-6_6ab7113b36214\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_6ab7113b36214\" id=\"forminator-field-text-5_6ab7113b36214-label\" class=\"forminator-label\">Region and town \/ locality<\/label><input type=\"text\" name=\"text-5\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-5_6ab7113b36214\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-10\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-10_6ab7113b36214\" id=\"forminator-field-text-10_6ab7113b36214-label\" class=\"forminator-label\">Initiative \/ achievement title<\/label><input type=\"text\" name=\"text-10\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-10_6ab7113b36214\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-9\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-9_6ab7113b36214\" id=\"forminator-field-text-9_6ab7113b36214-label\" class=\"forminator-label\">Start date and status<\/label><input type=\"text\" name=\"text-9\" value=\"Month\/year; ongoing or completed\" placeholder=\"\" id=\"forminator-field-text-9_6ab7113b36214\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-8\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-8_6ab7113b36214\" id=\"forminator-field-text-8_6ab7113b36214-label\" class=\"forminator-label\">Website or social-media link<\/label><input type=\"text\" name=\"text-8\" value=\"Optional\" placeholder=\"\" id=\"forminator-field-text-8_6ab7113b36214\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-7\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-7_6ab7113b36214\" id=\"forminator-field-text-7_6ab7113b36214-label\" class=\"forminator-label\">Nominator name, relationship and contact<\/label><input type=\"text\" name=\"text-7\" value=\"Only for third-party nominations\" placeholder=\"\" id=\"forminator-field-text-7_6ab7113b36214\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-5\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-5\"><div class=\"temvelo-section-title\">3. ELIGIBILITY CHECK<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-6ab7113b36214-label\"><label id=\"forminator-field-checkbox-1-1-6ab7113b36214-label\" for=\"forminator-field-checkbox-1-1-6ab7113b36214\" class=\"forminator-checkbox\" title=\"The work was carried out in, or directly benefits, South Africa.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"The work was carried out in, or directly benefits, South Africa.\" id=\"forminator-field-checkbox-1-1-6ab7113b36214\" aria-labelledby=\"forminator-field-checkbox-1-1-6ab7113b36214-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">The work was carried out in, or directly benefits, South Africa.<\/span><\/label><label id=\"forminator-field-checkbox-1-2-6ab7113b36214-label\" for=\"forminator-field-checkbox-1-2-6ab7113b36214\" class=\"forminator-checkbox\" title=\"The initiative was active or produced results during 2023-2026.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"The initiative was active or produced results during 2023-2026.\" id=\"forminator-field-checkbox-1-2-6ab7113b36214\" aria-labelledby=\"forminator-field-checkbox-1-2-6ab7113b36214-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">The initiative was active or produced results during 2023-2026.<\/span><\/label><label id=\"forminator-field-checkbox-1-3-6ab7113b36214-label\" for=\"forminator-field-checkbox-1-3-6ab7113b36214\" class=\"forminator-checkbox\" title=\"The nominee or organisation permits this entry and the information can be verified.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"The nominee or organisation permits this entry and the information can be verified.\" id=\"forminator-field-checkbox-1-3-6ab7113b36214\" aria-labelledby=\"forminator-field-checkbox-1-3-6ab7113b36214-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">The nominee or organisation permits this entry and the information can be verified.<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-7\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-7\"><div class=\"temvelo-section-title\">4. HOW THE ENTRY WILL BE JUDGED<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-6\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-6\"><div class=\"judging-grid\">\n    <div class=\"judging-item\">\n        <strong>Project merit and relevance<\/strong>\n        <span>20 points<\/span>\n    <\/div>\n\n    <div class=\"judging-item\">\n        <strong>Impact, evidence and why it should win<\/strong>\n        <span>35 points<\/span>\n    <\/div>\n\n    <div class=\"judging-item\">\n        <strong>Scalability \/ transferability<\/strong>\n        <span>20 points<\/span>\n    <\/div>\n\n    <div class=\"judging-item\">\n        <strong>Sustainability and lasting value<\/strong>\n        <span>25 points<\/span>\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-8\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-8\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 1 | The initiative and its merit<\/span>\n        <strong>20 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        Describe the pollution-prevention, circularity or resource-efficiency initiative and the problem it addresses. State when and where it started, who is involved, and what is innovative or goes beyond routine compliance.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-1\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-1_6ab7113b36214\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-9\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-9\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 2 | Why this entry should win<\/span>\n        <strong>35 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        Why should this initiative win? Give the strongest measured results against a clear baseline. These may include pollution prevented; waste avoided, reused or recycled; emissions reduced; resources recovered; cleaner air or water; cost savings; jobs; health or community benefits.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-2\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-2\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-2_6ab7113b36214\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-10\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-10\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 3 | Scalability \/ transferability<\/span>\n        <strong>20 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        How can the solution handle more material, reach more users or places, or be replicated elsewhere? Explain the markets, technology, infrastructure, partnerships, approvals, financing and safeguards needed.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-3\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-3\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-3_6ab7113b36214\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-11\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-11\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 4 | Sustainability and lasting value<\/span>\n        <strong>25 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        How will the environmental and financial benefits continue? Explain ownership, revenue or funding, supply and off-take arrangements, staff skills, maintenance, monitoring, risks and future targets.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-4\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-4\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-4_6ab7113b36214\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-12\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-12\"><div class=\"temvelo-section-title\">SUPPORTING EVIDENCE<\/div>\n\n<p class=\"temvelo-section-description\">\nList up to five strong items that verify the results in your answers. Links are preferred; attachments must total no more than 10 MB. Shortlisted entrants may be asked for further verification and a short video.\n<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-1\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-1_6ab7113b36214\" id=\"forminator-field-upload-1_6ab7113b36214-label\" class=\"forminator-label\">Upload file<\/label><div class=\"forminator-file-upload \" data-element=\"upload-1_6ab7113b36214\"><input type=\"file\" name=\"upload-1\" id=\"forminator-field-upload-1_6ab7113b36214\" class=\"forminator-input-file\" accept=\".jpg,.jpeg,.jpe,.gif,.png,.bmp,.tiff,.tif,.webp,.avif,.ico,.heic,.heif,.heics,.heifs,.asf,.asx,.wmv,.wmx,.wm,.avi,.divx,.flv,.mov,.qt,.mpeg,.mpg,.mpe,.mp4,.m4v,.ogv,.webm,.mkv,.3gp,.3gpp,.3g2,.3gp2,.txt,.asc,.c,.cc,.h,.srt,.csv,.tsv,.ics,.rtx,.vtt,.mp3,.m4a,.m4b,.aac,.ra,.ram,.wav,.x-wav,.ogg,.oga,.flac,.mid,.midi,.wma,.wax,.mka,.rtf,.pdf,.class,.tar,.zip,.gz,.gzip,.7z,.psd,.xcf,.doc,.pot,.pps,.ppt,.wri,.xla,.xls,.xlt,.xlw,.mdb,.mpp,.docx,.docm,.dotx,.dotm,.xlsx,.xlsm,.xlsb,.xltx,.xltm,.xlam,.pptx,.pptm,.ppsx,.ppsm,.potx,.potm,.ppam,.sldx,.sldm,.onetoc,.onetoc2,.onetmp,.onepkg,.oxps,.xps,.odt,.odp,.ods,.odg,.odc,.odb,.odf,.wp,.wpd,.key,.numbers,.pages\" tabindex=\"-1\"><button id=\"forminator-field-upload-1_6ab7113b36214_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-1_6ab7113b36214\">Choose File<\/button><span data-empty-text=\"No file chosen\">No file chosen<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Delete uploaded file<\/span><\/button><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-11\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-11_6ab7113b36214\" id=\"forminator-field-text-11_6ab7113b36214-label\" class=\"forminator-label\">Evidence \/ link 1 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-11\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-11_6ab7113b36214\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-12\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-12_6ab7113b36214\" id=\"forminator-field-text-12_6ab7113b36214-label\" class=\"forminator-label\">Evidence \/ link 2 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-12\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-12_6ab7113b36214\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-13\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-13_6ab7113b36214\" id=\"forminator-field-text-13_6ab7113b36214-label\" class=\"forminator-label\">Evidence \/ link 3 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-13\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-13_6ab7113b36214\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-14\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-14_6ab7113b36214\" id=\"forminator-field-text-14_6ab7113b36214-label\" class=\"forminator-label\">Evidence \/ link 4<\/label><input type=\"text\" name=\"text-14\" value=\"Optional\" placeholder=\"\" id=\"forminator-field-text-14_6ab7113b36214\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-15\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-15_6ab7113b36214\" id=\"forminator-field-text-15_6ab7113b36214-label\" class=\"forminator-label\">Evidence \/ link 5<\/label><input type=\"text\" name=\"text-15\" value=\"Optional\" placeholder=\"\" id=\"forminator-field-text-15_6ab7113b36214\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-16\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-16_6ab7113b36214\" id=\"forminator-field-text-16_6ab7113b36214-label\" class=\"forminator-label\">Access code or attachment names<\/label><input type=\"text\" name=\"text-16\" value=\"If applicable\" placeholder=\"\" id=\"forminator-field-text-16_6ab7113b36214\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-13\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-13\"><div class=\"temvelo-section-title\">DECLARATION AND CONSENT<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-2\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-2-6ab7113b36214-label\"><label id=\"forminator-field-checkbox-2-1-6ab7113b36214-label\" for=\"forminator-field-checkbox-2-1-6ab7113b36214\" class=\"forminator-checkbox\" title=\"I confirm that the information in this form is accurate and may be verified by the judging panel.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"I confirm that the information in this form is accurate and may be verified by the judging panel.\" id=\"forminator-field-checkbox-2-1-6ab7113b36214\" aria-labelledby=\"forminator-field-checkbox-2-1-6ab7113b36214-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I confirm that the information in this form is accurate and may be verified by the judging panel.<\/span><\/label><label id=\"forminator-field-checkbox-2-2-6ab7113b36214-label\" for=\"forminator-field-checkbox-2-2-6ab7113b36214\" class=\"forminator-checkbox\" title=\"I have authority to submit this application or nomination and the supporting material.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"I have authority to submit this application or nomination and the supporting material.\" id=\"forminator-field-checkbox-2-2-6ab7113b36214\" aria-labelledby=\"forminator-field-checkbox-2-2-6ab7113b36214-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I have authority to submit this application or nomination and the supporting material.<\/span><\/label><label id=\"forminator-field-checkbox-2-3-6ab7113b36214-label\" for=\"forminator-field-checkbox-2-3-6ab7113b36214\" class=\"forminator-checkbox\" title=\"I understand that shortlisted or winning entries may be publicised, subject to any confidentiality clearly identified in the submission.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"I understand that shortlisted or winning entries may be publicised, subject to any confidentiality clearly identified in the submission.\" id=\"forminator-field-checkbox-2-3-6ab7113b36214\" aria-labelledby=\"forminator-field-checkbox-2-3-6ab7113b36214-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I understand that shortlisted or winning entries may be publicised, subject to any confidentiality clearly identified in the submission.<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-17\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-17_6ab7113b36214\" id=\"forminator-field-text-17_6ab7113b36214-label\" class=\"forminator-label\">Name<\/label><input type=\"text\" name=\"text-17\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-17_6ab7113b36214\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-18\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-18_6ab7113b36214\" id=\"forminator-field-text-18_6ab7113b36214-label\" class=\"forminator-label\">Capacity<\/label><input type=\"text\" name=\"text-18\" value=\"Nominee \/ nominator \/ authorised representative\" placeholder=\"\" id=\"forminator-field-text-18_6ab7113b36214\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-20\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-20_6ab7113b36214\" id=\"forminator-field-text-20_6ab7113b36214-label\" class=\"forminator-label\">Signature<\/label><input type=\"text\" name=\"text-20\" value=\"Sign or type full name\" placeholder=\"\" id=\"forminator-field-text-20_6ab7113b36214\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-19\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-19_6ab7113b36214\" id=\"forminator-field-text-19_6ab7113b36214-label\" class=\"forminator-label\">Date<\/label><input type=\"text\" name=\"text-19\" value=\"DD\/MM\/YYYY\" placeholder=\"\" id=\"forminator-field-text-19_6ab7113b36214\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Submit<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"8d38124cd2\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F223\" \/><input type=\"hidden\" name=\"form_id\" value=\"2261\"><input type=\"hidden\" name=\"page_id\" value=\"223\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/temvelo.co.za\/?page_id=223\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center alignfull has-nv-site-bg-color has-text-color has-background has-link-color wp-elements-4\" style=\"background-color:#1b9f00\">Ecosystem Management Application Form<\/h2>\n\n\n<p><div class=\"forminator-ui forminator-custom-form forminator-custom-form-2246 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-2246\" data-uid=\"6ab7113b3b21f\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-2246\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-2246 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"2246\"\n\t\t\t\tenctype=\"multipart\/form-data\" data-color-option=\"theme\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"6ab7113b3b21f\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"html-1\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-1\"><div class=\"temvelo-header\">\n<h1>TEMVELO AWARDS 2026<\/h1>\n<h2>Application \/ Nomination Form | Ecosystem Management<\/h2>\n<div class=\"temvelo-scoreline\">4 SCORED QUESTIONS | 100 POINTS | EVIDENCE-LED<\/div>\n<p>Tell one clear story. Use numbers where available and provide only evidence that supports your claims.<\/p>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-2\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-2\"><div class=\"temvelo-section-title\">1. SELECT ONE AWARD CATEGORY<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-1\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-1-6ab7113b3b21f-label\"><span id=\"forminator-radiogroup-radio-1-6ab7113b3b21f-label\" class=\"forminator-label\">Award Category <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-6ab7113b3b21f\" class=\"forminator-radio\" title=\"Sustainable Eco-Tourism Award\"><input type=\"radio\" name=\"radio-1\" value=\"Sustainable Eco-Tourism Award\" id=\"forminator-field-radio-1-1-6ab7113b3b21f\" aria-labelledby=\"forminator-field-radio-1-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Sustainable Eco-Tourism Award<\/span><\/label><label id=\"forminator-field-radio-1-label-2\" for=\"forminator-field-radio-1-2-6ab7113b3b21f\" class=\"forminator-radio\" title=\"Best Community Natural Resource Management Programme\"><input type=\"radio\" name=\"radio-1\" value=\"Best Community Natural Resource Management Programme\" id=\"forminator-field-radio-1-2-6ab7113b3b21f\" aria-labelledby=\"forminator-field-radio-1-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Best Community Natural Resource Management Programme<\/span><\/label><label id=\"forminator-field-radio-1-label-3\" for=\"forminator-field-radio-1-3-6ab7113b3b21f\" class=\"forminator-radio\" title=\"Human-Wildlife Harmonious Living Award\"><input type=\"radio\" name=\"radio-1\" value=\"Human-Wildlife Harmonious Living Award\" id=\"forminator-field-radio-1-3-6ab7113b3b21f\" aria-labelledby=\"forminator-field-radio-1-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Human-Wildlife Harmonious Living Award<\/span><\/label><label id=\"forminator-field-radio-1-label-4\" for=\"forminator-field-radio-1-4-6ab7113b3b21f\" class=\"forminator-radio\" title=\"Wildlife Research Award\"><input type=\"radio\" name=\"radio-1\" value=\"Wildlife Research Award\" id=\"forminator-field-radio-1-4-6ab7113b3b21f\" aria-labelledby=\"forminator-field-radio-1-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Wildlife Research Award<\/span><\/label><label id=\"forminator-field-radio-1-label-5\" for=\"forminator-field-radio-1-5-6ab7113b3b21f\" class=\"forminator-radio\" title=\"Wildlife Conservation Education Award\"><input type=\"radio\" name=\"radio-1\" value=\"Wildlife Conservation Education Award\" id=\"forminator-field-radio-1-5-6ab7113b3b21f\" aria-labelledby=\"forminator-field-radio-1-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Wildlife Conservation Education Award<\/span><\/label><label id=\"forminator-field-radio-1-label-6\" for=\"forminator-field-radio-1-6-6ab7113b3b21f\" class=\"forminator-radio\" title=\"Community Livelihood Award\"><input type=\"radio\" name=\"radio-1\" value=\"Community Livelihood Award\" id=\"forminator-field-radio-1-6-6ab7113b3b21f\" aria-labelledby=\"forminator-field-radio-1-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Community Livelihood Award<\/span><\/label><label id=\"forminator-field-radio-1-label-7\" for=\"forminator-field-radio-1-7-6ab7113b3b21f\" class=\"forminator-radio\" title=\"Sustainable Protected Area Management Award\"><input type=\"radio\" name=\"radio-1\" value=\"Sustainable Protected Area Management Award\" id=\"forminator-field-radio-1-7-6ab7113b3b21f\" aria-labelledby=\"forminator-field-radio-1-label-7\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Sustainable Protected Area Management Award<\/span><\/label><label id=\"forminator-field-radio-1-label-8\" for=\"forminator-field-radio-1-8-6ab7113b3b21f\" class=\"forminator-radio\" title=\"Water Conservation Award\"><input type=\"radio\" name=\"radio-1\" value=\"Water Conservation Award\" id=\"forminator-field-radio-1-8-6ab7113b3b21f\" aria-labelledby=\"forminator-field-radio-1-label-8\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Water Conservation Award<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-3\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-3\"><p class=\"temvelo-note\">Place an X in one box.<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-4\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-4\"><div class=\"temvelo-section-title\">2. ENTRY DETAILS<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-6 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-6ab7113b3b21f-label\"><span id=\"forminator-radiogroup-radio-2-6ab7113b3b21f-label\" class=\"forminator-label\">Entry type <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-6ab7113b3b21f\" class=\"forminator-radio forminator-radio-inline\" title=\"Self-application\"><input type=\"radio\" name=\"radio-2\" value=\"Self-application\" id=\"forminator-field-radio-2-1-6ab7113b3b21f\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Self-application<\/span><\/label><label id=\"forminator-field-radio-2-label-2\" for=\"forminator-field-radio-2-2-6ab7113b3b21f\" class=\"forminator-radio forminator-radio-inline\" title=\"Third-party nomination\"><input type=\"radio\" name=\"radio-2\" value=\"Third-party nomination\" id=\"forminator-field-radio-2-2-6ab7113b3b21f\" aria-labelledby=\"forminator-field-radio-2-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Third-party nomination<\/span><\/label><\/div><\/div><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_6ab7113b3b21f\" id=\"forminator-field-text-3_6ab7113b3b21f-label\" class=\"forminator-label\">Nominee \/ organisation <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-3\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-3_6ab7113b3b21f\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_6ab7113b3b21f\" id=\"forminator-field-text-2_6ab7113b3b21f-label\" class=\"forminator-label\">Contact person and position <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-2\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-2_6ab7113b3b21f\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_6ab7113b3b21f\" id=\"forminator-field-text-4_6ab7113b3b21f-label\" class=\"forminator-label\">Telephone<\/label><input type=\"text\" name=\"text-4\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-4_6ab7113b3b21f\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-6\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-6_6ab7113b3b21f\" id=\"forminator-field-text-6_6ab7113b3b21f-label\" class=\"forminator-label\">Email<\/label><input type=\"text\" name=\"text-6\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-6_6ab7113b3b21f\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_6ab7113b3b21f\" id=\"forminator-field-text-5_6ab7113b3b21f-label\" class=\"forminator-label\">Region and town \/ locality<\/label><input type=\"text\" name=\"text-5\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-5_6ab7113b3b21f\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-10\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-10_6ab7113b3b21f\" id=\"forminator-field-text-10_6ab7113b3b21f-label\" class=\"forminator-label\">Initiative \/ achievement title<\/label><input type=\"text\" name=\"text-10\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-10_6ab7113b3b21f\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-9\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-9_6ab7113b3b21f\" id=\"forminator-field-text-9_6ab7113b3b21f-label\" class=\"forminator-label\">Start date and status<\/label><input type=\"text\" name=\"text-9\" value=\"Month\/year; ongoing or completed\" placeholder=\"\" id=\"forminator-field-text-9_6ab7113b3b21f\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-8\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-8_6ab7113b3b21f\" id=\"forminator-field-text-8_6ab7113b3b21f-label\" class=\"forminator-label\">Website or social-media link<\/label><input type=\"text\" name=\"text-8\" value=\"Optional\" placeholder=\"\" id=\"forminator-field-text-8_6ab7113b3b21f\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-7\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-7_6ab7113b3b21f\" id=\"forminator-field-text-7_6ab7113b3b21f-label\" class=\"forminator-label\">Nominator name, relationship and contact<\/label><input type=\"text\" name=\"text-7\" value=\"Only for third-party nominations\" placeholder=\"\" id=\"forminator-field-text-7_6ab7113b3b21f\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-5\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-5\"><div class=\"temvelo-section-title\">3. ELIGIBILITY CHECK<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-6ab7113b3b21f-label\"><label id=\"forminator-field-checkbox-1-1-6ab7113b3b21f-label\" for=\"forminator-field-checkbox-1-1-6ab7113b3b21f\" class=\"forminator-checkbox\" title=\"The work was carried out in, or directly benefits, Eswatini.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"The work was carried out in, or directly benefits, Eswatini.\" id=\"forminator-field-checkbox-1-1-6ab7113b3b21f\" aria-labelledby=\"forminator-field-checkbox-1-1-6ab7113b3b21f-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">The work was carried out in, or directly benefits, Eswatini.<\/span><\/label><label id=\"forminator-field-checkbox-1-2-6ab7113b3b21f-label\" for=\"forminator-field-checkbox-1-2-6ab7113b3b21f\" class=\"forminator-checkbox\" title=\"The initiative was active or produced results during 2023-2026.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"The initiative was active or produced results during 2023-2026.\" id=\"forminator-field-checkbox-1-2-6ab7113b3b21f\" aria-labelledby=\"forminator-field-checkbox-1-2-6ab7113b3b21f-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">The initiative was active or produced results during 2023-2026.<\/span><\/label><label id=\"forminator-field-checkbox-1-3-6ab7113b3b21f-label\" for=\"forminator-field-checkbox-1-3-6ab7113b3b21f\" class=\"forminator-checkbox\" title=\"The nominee or organisation permits this entry and the information can be verified.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"The nominee or organisation permits this entry and the information can be verified.\" id=\"forminator-field-checkbox-1-3-6ab7113b3b21f\" aria-labelledby=\"forminator-field-checkbox-1-3-6ab7113b3b21f-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">The nominee or organisation permits this entry and the information can be verified.<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-7\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-7\"><div class=\"temvelo-section-title\">4. HOW THE ENTRY WILL BE JUDGED<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-6\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-6\"><div class=\"judging-grid\">\n    <div class=\"judging-item\">\n        <strong>Project merit and relevance<\/strong>\n        <span>20 points<\/span>\n    <\/div>\n\n    <div class=\"judging-item\">\n        <strong>Impact, evidence and why it should win<\/strong>\n        <span>35 points<\/span>\n    <\/div>\n\n    <div class=\"judging-item\">\n        <strong>Scalability \/ transferability<\/strong>\n        <span>20 points<\/span>\n    <\/div>\n\n    <div class=\"judging-item\">\n        <strong>Sustainability and lasting value<\/strong>\n        <span>25 points<\/span>\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-8\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-8\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 1 | The initiative and its merit<\/span>\n        <strong>20 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        Describe the ecosystem, conservation or natural-resource initiative and the need it addresses. State the location, when it started, who is involved, and what is innovative or distinctive.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-1\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-1_6ab7113b3b21f\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-9\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-9\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 2 | Why this entry should win<\/span>\n        <strong>35 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        Why should this initiative win? Give the strongest measured results and evidence. These may include improved habitat, species or water condition; restored land; reduced threats or human-wildlife conflict; conservation learning; livelihoods; or community benefits.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-2\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-2\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-2_6ab7113b3b21f\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-10\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-10\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 3 | Scalability \/ transferability<\/span>\n        <strong>20 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        How can the approach cover a larger area, benefit more people or species, or be replicated elsewhere? Explain the safeguards, partnerships, permissions, skills and resources needed.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-3\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-3\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-3_6ab7113b3b21f\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-11\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-11\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 4 | Sustainability and lasting value<\/span>\n        <strong>25 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        How will the conservation results last? Explain governance, community ownership, financing, maintenance or enforcement, monitoring, climate resilience, risks and future targets.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-4\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-4\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-4_6ab7113b3b21f\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-12\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-12\"><div class=\"temvelo-section-title\">SUPPORTING EVIDENCE<\/div>\n\n<p class=\"temvelo-section-description\">\nList up to five strong items that verify the results in your answers. Links are preferred; attachments must total no more than 10 MB. Shortlisted entrants may be asked for further verification and a short video.\n<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-1\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-1_6ab7113b3b21f\" id=\"forminator-field-upload-1_6ab7113b3b21f-label\" class=\"forminator-label\">Upload file<\/label><div class=\"forminator-file-upload \" data-element=\"upload-1_6ab7113b3b21f\"><input type=\"file\" name=\"upload-1\" id=\"forminator-field-upload-1_6ab7113b3b21f\" class=\"forminator-input-file\" accept=\".jpg,.jpeg,.jpe,.gif,.png,.bmp,.tiff,.tif,.webp,.avif,.ico,.heic,.heif,.heics,.heifs,.asf,.asx,.wmv,.wmx,.wm,.avi,.divx,.flv,.mov,.qt,.mpeg,.mpg,.mpe,.mp4,.m4v,.ogv,.webm,.mkv,.3gp,.3gpp,.3g2,.3gp2,.txt,.asc,.c,.cc,.h,.srt,.csv,.tsv,.ics,.rtx,.vtt,.mp3,.m4a,.m4b,.aac,.ra,.ram,.wav,.x-wav,.ogg,.oga,.flac,.mid,.midi,.wma,.wax,.mka,.rtf,.pdf,.class,.tar,.zip,.gz,.gzip,.7z,.psd,.xcf,.doc,.pot,.pps,.ppt,.wri,.xla,.xls,.xlt,.xlw,.mdb,.mpp,.docx,.docm,.dotx,.dotm,.xlsx,.xlsm,.xlsb,.xltx,.xltm,.xlam,.pptx,.pptm,.ppsx,.ppsm,.potx,.potm,.ppam,.sldx,.sldm,.onetoc,.onetoc2,.onetmp,.onepkg,.oxps,.xps,.odt,.odp,.ods,.odg,.odc,.odb,.odf,.wp,.wpd,.key,.numbers,.pages\" tabindex=\"-1\"><button id=\"forminator-field-upload-1_6ab7113b3b21f_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-1_6ab7113b3b21f\">Choose File<\/button><span data-empty-text=\"No file chosen\">No file chosen<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Delete uploaded file<\/span><\/button><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-11\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-11_6ab7113b3b21f\" id=\"forminator-field-text-11_6ab7113b3b21f-label\" class=\"forminator-label\">Evidence \/ link 1 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-11\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-11_6ab7113b3b21f\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-12\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-12_6ab7113b3b21f\" id=\"forminator-field-text-12_6ab7113b3b21f-label\" class=\"forminator-label\">Evidence \/ link 2 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-12\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-12_6ab7113b3b21f\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-13\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-13_6ab7113b3b21f\" id=\"forminator-field-text-13_6ab7113b3b21f-label\" class=\"forminator-label\">Evidence \/ link 3 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-13\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-13_6ab7113b3b21f\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-14\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-14_6ab7113b3b21f\" id=\"forminator-field-text-14_6ab7113b3b21f-label\" class=\"forminator-label\">Evidence \/ link 4<\/label><input type=\"text\" name=\"text-14\" value=\"Optional\" placeholder=\"\" id=\"forminator-field-text-14_6ab7113b3b21f\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-15\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-15_6ab7113b3b21f\" id=\"forminator-field-text-15_6ab7113b3b21f-label\" class=\"forminator-label\">Evidence \/ link 5<\/label><input type=\"text\" name=\"text-15\" value=\"Optional\" placeholder=\"\" id=\"forminator-field-text-15_6ab7113b3b21f\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-16\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-16_6ab7113b3b21f\" id=\"forminator-field-text-16_6ab7113b3b21f-label\" class=\"forminator-label\">Access code or attachment names<\/label><input type=\"text\" name=\"text-16\" value=\"If applicable\" placeholder=\"\" id=\"forminator-field-text-16_6ab7113b3b21f\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-13\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-13\"><div class=\"temvelo-section-title\">DECLARATION AND CONSENT<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-2\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-2-6ab7113b3b21f-label\"><label id=\"forminator-field-checkbox-2-1-6ab7113b3b21f-label\" for=\"forminator-field-checkbox-2-1-6ab7113b3b21f\" class=\"forminator-checkbox\" title=\"I confirm that the information in this form is accurate and may be verified by the judging panel.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"I confirm that the information in this form is accurate and may be verified by the judging panel.\" id=\"forminator-field-checkbox-2-1-6ab7113b3b21f\" aria-labelledby=\"forminator-field-checkbox-2-1-6ab7113b3b21f-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I confirm that the information in this form is accurate and may be verified by the judging panel.<\/span><\/label><label id=\"forminator-field-checkbox-2-2-6ab7113b3b21f-label\" for=\"forminator-field-checkbox-2-2-6ab7113b3b21f\" class=\"forminator-checkbox\" title=\"I have authority to submit this application or nomination and the supporting material.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"I have authority to submit this application or nomination and the supporting material.\" id=\"forminator-field-checkbox-2-2-6ab7113b3b21f\" aria-labelledby=\"forminator-field-checkbox-2-2-6ab7113b3b21f-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I have authority to submit this application or nomination and the supporting material.<\/span><\/label><label id=\"forminator-field-checkbox-2-3-6ab7113b3b21f-label\" for=\"forminator-field-checkbox-2-3-6ab7113b3b21f\" class=\"forminator-checkbox\" title=\"I understand that shortlisted or winning entries may be publicised, subject to any confidentiality clearly identified in the submission.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"I understand that shortlisted or winning entries may be publicised, subject to any confidentiality clearly identified in the submission.\" id=\"forminator-field-checkbox-2-3-6ab7113b3b21f\" aria-labelledby=\"forminator-field-checkbox-2-3-6ab7113b3b21f-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I understand that shortlisted or winning entries may be publicised, subject to any confidentiality clearly identified in the submission.<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-17\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-17_6ab7113b3b21f\" id=\"forminator-field-text-17_6ab7113b3b21f-label\" class=\"forminator-label\">Name<\/label><input type=\"text\" name=\"text-17\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-17_6ab7113b3b21f\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-18\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-18_6ab7113b3b21f\" id=\"forminator-field-text-18_6ab7113b3b21f-label\" class=\"forminator-label\">Capacity<\/label><input type=\"text\" name=\"text-18\" value=\"Nominee \/ nominator \/ authorised representative\" placeholder=\"\" id=\"forminator-field-text-18_6ab7113b3b21f\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-20\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-20_6ab7113b3b21f\" id=\"forminator-field-text-20_6ab7113b3b21f-label\" class=\"forminator-label\">Signature<\/label><input type=\"text\" name=\"text-20\" value=\"Sign or type full name\" placeholder=\"\" id=\"forminator-field-text-20_6ab7113b3b21f\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-19\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-19_6ab7113b3b21f\" id=\"forminator-field-text-19_6ab7113b3b21f-label\" class=\"forminator-label\">Date<\/label><input type=\"text\" name=\"text-19\" value=\"DD\/MM\/YYYY\" placeholder=\"\" id=\"forminator-field-text-19_6ab7113b3b21f\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Submit<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"570b10f78d\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F223\" \/><input type=\"hidden\" name=\"form_id\" value=\"2246\"><input type=\"hidden\" name=\"page_id\" value=\"223\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/temvelo.co.za\/?page_id=223\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center alignfull has-nv-site-bg-color has-text-color has-background has-link-color wp-elements-5\" style=\"background-color:#1b9f00\">Agricultural Activities Application Form<\/h2>\n\n\n<p><div class=\"forminator-ui forminator-custom-form forminator-custom-form-2242 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-2242\" data-uid=\"6ab7113b4030a\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-2242\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-2242 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"2242\"\n\t\t\t\tenctype=\"multipart\/form-data\" data-color-option=\"theme\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"6ab7113b4030a\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"html-1\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-1\"><div class=\"temvelo-header\">\n<h1>TEMVELO AWARDS 2026<\/h1>\n<h2>Application \/ Nomination Form | Agricultural Activities<\/h2>\n<div class=\"temvelo-scoreline\">4 SCORED QUESTIONS | 100 POINTS | EVIDENCE-LED<\/div>\n<p>Tell one clear story. Use numbers where available and provide only evidence that supports your claims.<\/p>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-2\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-2\"><div class=\"temvelo-section-title\">1. SELECT ONE AWARD CATEGORY<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-1\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-1-6ab7113b4030a-label\"><span id=\"forminator-radiogroup-radio-1-6ab7113b4030a-label\" class=\"forminator-label\">Award Category <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-6ab7113b4030a\" class=\"forminator-radio\" title=\"Best Conservation Agriculture Project\"><input type=\"radio\" name=\"radio-1\" value=\"Best Conservation Agriculture Project\" id=\"forminator-field-radio-1-1-6ab7113b4030a\" aria-labelledby=\"forminator-field-radio-1-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Best Conservation Agriculture Project<\/span><\/label><label id=\"forminator-field-radio-1-label-2\" for=\"forminator-field-radio-1-2-6ab7113b4030a\" class=\"forminator-radio\" title=\"Agri-Startup Award\"><input type=\"radio\" name=\"radio-1\" value=\"Agri-Startup Award\" id=\"forminator-field-radio-1-2-6ab7113b4030a\" aria-labelledby=\"forminator-field-radio-1-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Agri-Startup Award<\/span><\/label><label id=\"forminator-field-radio-1-label-3\" for=\"forminator-field-radio-1-3-6ab7113b4030a\" class=\"forminator-radio\" title=\"Agricultural Innovator of the Year\"><input type=\"radio\" name=\"radio-1\" value=\"Agricultural Innovator of the Year\" id=\"forminator-field-radio-1-3-6ab7113b4030a\" aria-labelledby=\"forminator-field-radio-1-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Agricultural Innovator of the Year<\/span><\/label><label id=\"forminator-field-radio-1-label-4\" for=\"forminator-field-radio-1-4-6ab7113b4030a\" class=\"forminator-radio\" title=\"Livestock Farmer of the Year\"><input type=\"radio\" name=\"radio-1\" value=\"Livestock Farmer of the Year\" id=\"forminator-field-radio-1-4-6ab7113b4030a\" aria-labelledby=\"forminator-field-radio-1-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Livestock Farmer of the Year<\/span><\/label><label id=\"forminator-field-radio-1-label-5\" for=\"forminator-field-radio-1-5-6ab7113b4030a\" class=\"forminator-radio\" title=\"Sustainable Farmer\"><input type=\"radio\" name=\"radio-1\" value=\"Sustainable Farmer\" id=\"forminator-field-radio-1-5-6ab7113b4030a\" aria-labelledby=\"forminator-field-radio-1-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Sustainable Farmer<\/span><\/label><label id=\"forminator-field-radio-1-label-6\" for=\"forminator-field-radio-1-6-6ab7113b4030a\" class=\"forminator-radio\" title=\"Best Farm Diversification Award\"><input type=\"radio\" name=\"radio-1\" value=\"Best Farm Diversification Award\" id=\"forminator-field-radio-1-6-6ab7113b4030a\" aria-labelledby=\"forminator-field-radio-1-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Best Farm Diversification Award<\/span><\/label><label id=\"forminator-field-radio-1-label-7\" for=\"forminator-field-radio-1-7-6ab7113b4030a\" class=\"forminator-radio\" title=\"Sustainable Forestry Industry Award\"><input type=\"radio\" name=\"radio-1\" value=\"Sustainable Forestry Industry Award\" id=\"forminator-field-radio-1-7-6ab7113b4030a\" aria-labelledby=\"forminator-field-radio-1-label-7\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Sustainable Forestry Industry Award<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-3\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-3\"><p class=\"temvelo-note\">Place an X in one box.<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-4\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-4\"><div class=\"temvelo-section-title\">2. ENTRY DETAILS<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-6 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-6ab7113b4030a-label\"><span id=\"forminator-radiogroup-radio-2-6ab7113b4030a-label\" class=\"forminator-label\">Entry type <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-6ab7113b4030a\" class=\"forminator-radio forminator-radio-inline\" title=\"Self-application\"><input type=\"radio\" name=\"radio-2\" value=\"Self-application\" id=\"forminator-field-radio-2-1-6ab7113b4030a\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Self-application<\/span><\/label><label id=\"forminator-field-radio-2-label-2\" for=\"forminator-field-radio-2-2-6ab7113b4030a\" class=\"forminator-radio forminator-radio-inline\" title=\"Third-party nomination\"><input type=\"radio\" name=\"radio-2\" value=\"Third-party nomination\" id=\"forminator-field-radio-2-2-6ab7113b4030a\" aria-labelledby=\"forminator-field-radio-2-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Third-party nomination<\/span><\/label><\/div><\/div><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_6ab7113b4030a\" id=\"forminator-field-text-3_6ab7113b4030a-label\" class=\"forminator-label\">Nominee \/ organisation <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-3\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-3_6ab7113b4030a\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_6ab7113b4030a\" id=\"forminator-field-text-2_6ab7113b4030a-label\" class=\"forminator-label\">Contact person and position <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-2\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-2_6ab7113b4030a\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_6ab7113b4030a\" id=\"forminator-field-text-4_6ab7113b4030a-label\" class=\"forminator-label\">Telephone<\/label><input type=\"text\" name=\"text-4\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-4_6ab7113b4030a\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-6\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-6_6ab7113b4030a\" id=\"forminator-field-text-6_6ab7113b4030a-label\" class=\"forminator-label\">Email<\/label><input type=\"text\" name=\"text-6\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-6_6ab7113b4030a\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_6ab7113b4030a\" id=\"forminator-field-text-5_6ab7113b4030a-label\" class=\"forminator-label\">Region and town \/ locality<\/label><input type=\"text\" name=\"text-5\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-5_6ab7113b4030a\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-10\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-10_6ab7113b4030a\" id=\"forminator-field-text-10_6ab7113b4030a-label\" class=\"forminator-label\">Initiative \/ achievement title<\/label><input type=\"text\" name=\"text-10\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-10_6ab7113b4030a\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-9\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-9_6ab7113b4030a\" id=\"forminator-field-text-9_6ab7113b4030a-label\" class=\"forminator-label\">Start date and status<\/label><input type=\"text\" name=\"text-9\" value=\"Month\/year; ongoing or completed\" placeholder=\"\" id=\"forminator-field-text-9_6ab7113b4030a\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-8\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-8_6ab7113b4030a\" id=\"forminator-field-text-8_6ab7113b4030a-label\" class=\"forminator-label\">Website or social-media link<\/label><input type=\"text\" name=\"text-8\" value=\"Optional\" placeholder=\"\" id=\"forminator-field-text-8_6ab7113b4030a\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-7\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-7_6ab7113b4030a\" id=\"forminator-field-text-7_6ab7113b4030a-label\" class=\"forminator-label\">Nominator name, relationship and contact<\/label><input type=\"text\" name=\"text-7\" value=\"Only for third-party nominations\" placeholder=\"\" id=\"forminator-field-text-7_6ab7113b4030a\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-5\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-5\"><div class=\"temvelo-section-title\">3. ELIGIBILITY CHECK<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-6ab7113b4030a-label\"><label id=\"forminator-field-checkbox-1-1-6ab7113b4030a-label\" for=\"forminator-field-checkbox-1-1-6ab7113b4030a\" class=\"forminator-checkbox\" title=\"The work was carried out in, or directly benefits, South Africa\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"The work was carried out in, or directly benefits, South Africa\" id=\"forminator-field-checkbox-1-1-6ab7113b4030a\" aria-labelledby=\"forminator-field-checkbox-1-1-6ab7113b4030a-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">The work was carried out in, or directly benefits, South Africa<\/span><\/label><label id=\"forminator-field-checkbox-1-2-6ab7113b4030a-label\" for=\"forminator-field-checkbox-1-2-6ab7113b4030a\" class=\"forminator-checkbox\" title=\"The initiative was active or produced results during 2023-2026.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"The initiative was active or produced results during 2023-2026.\" id=\"forminator-field-checkbox-1-2-6ab7113b4030a\" aria-labelledby=\"forminator-field-checkbox-1-2-6ab7113b4030a-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">The initiative was active or produced results during 2023-2026.<\/span><\/label><label id=\"forminator-field-checkbox-1-3-6ab7113b4030a-label\" for=\"forminator-field-checkbox-1-3-6ab7113b4030a\" class=\"forminator-checkbox\" title=\"The nominee or organisation permits this entry and the information can be verified.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"The nominee or organisation permits this entry and the information can be verified.\" id=\"forminator-field-checkbox-1-3-6ab7113b4030a\" aria-labelledby=\"forminator-field-checkbox-1-3-6ab7113b4030a-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">The nominee or organisation permits this entry and the information can be verified.<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-7\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-7\"><div class=\"temvelo-section-title\">4. HOW THE ENTRY WILL BE JUDGED<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-6\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-6\"><div class=\"judging-grid\">\n    <div class=\"judging-item\">\n        <strong>Project merit and relevance<\/strong>\n        <span>20 points<\/span>\n    <\/div>\n\n    <div class=\"judging-item\">\n        <strong>Impact, evidence and why it should win<\/strong>\n        <span>35 points<\/span>\n    <\/div>\n\n    <div class=\"judging-item\">\n        <strong>Scalability \/ transferability<\/strong>\n        <span>20 points<\/span>\n    <\/div>\n\n    <div class=\"judging-item\">\n        <strong>Sustainability and lasting value<\/strong>\n        <span>25 points<\/span>\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-8\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-8\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 1 | The initiative and its merit<\/span>\n        <strong>20 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        Describe the agricultural or forestry initiative and the problem or opportunity it addresses. State where and when it started, who is involved, and what is innovative or distinctive about the approach.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-1\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-1_6ab7113b4030a\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-9\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-9\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 2 | Why this entry should win<\/span>\n        <strong>35 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        Why should this initiative win? Give the strongest measured results and evidence. These may include soil, water, biodiversity, waste, energy or climate benefits; reduced inputs; productivity; animal welfare; livelihoods; jobs; or income.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-2\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-2\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-2_6ab7113b4030a\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-10\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-10\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 3 | Scalability \/ transferability<\/span>\n        <strong>20 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        How can the approach be expanded on the farm, across a value chain or in other communities? Explain the conditions and resources needed for others to adopt it successfully.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-3\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-3\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-3_6ab7113b4030a\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-11\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-11\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 4 | Sustainability and lasting value<\/span>\n        <strong>25 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        How will the environmental, social and economic benefits be maintained? Explain long-term management, skills, financing, markets, maintenance, monitoring, risks and future targets.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-4\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-4\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-4_6ab7113b4030a\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-12\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-12\"><div class=\"temvelo-section-title\">SUPPORTING EVIDENCE<\/div>\n\n<p class=\"temvelo-section-description\">\nList up to five strong items that verify the results in your answers. Links are preferred; attachments must total no more than 10 MB. Shortlisted entrants may be asked for further verification and a short video.\n<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-1\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-1_6ab7113b4030a\" id=\"forminator-field-upload-1_6ab7113b4030a-label\" class=\"forminator-label\">Upload file<\/label><div class=\"forminator-file-upload \" data-element=\"upload-1_6ab7113b4030a\"><input type=\"file\" name=\"upload-1\" id=\"forminator-field-upload-1_6ab7113b4030a\" class=\"forminator-input-file\" accept=\".jpg,.jpeg,.jpe,.gif,.png,.bmp,.tiff,.tif,.webp,.avif,.ico,.heic,.heif,.heics,.heifs,.asf,.asx,.wmv,.wmx,.wm,.avi,.divx,.flv,.mov,.qt,.mpeg,.mpg,.mpe,.mp4,.m4v,.ogv,.webm,.mkv,.3gp,.3gpp,.3g2,.3gp2,.txt,.asc,.c,.cc,.h,.srt,.csv,.tsv,.ics,.rtx,.vtt,.mp3,.m4a,.m4b,.aac,.ra,.ram,.wav,.x-wav,.ogg,.oga,.flac,.mid,.midi,.wma,.wax,.mka,.rtf,.pdf,.class,.tar,.zip,.gz,.gzip,.7z,.psd,.xcf,.doc,.pot,.pps,.ppt,.wri,.xla,.xls,.xlt,.xlw,.mdb,.mpp,.docx,.docm,.dotx,.dotm,.xlsx,.xlsm,.xlsb,.xltx,.xltm,.xlam,.pptx,.pptm,.ppsx,.ppsm,.potx,.potm,.ppam,.sldx,.sldm,.onetoc,.onetoc2,.onetmp,.onepkg,.oxps,.xps,.odt,.odp,.ods,.odg,.odc,.odb,.odf,.wp,.wpd,.key,.numbers,.pages\" tabindex=\"-1\"><button id=\"forminator-field-upload-1_6ab7113b4030a_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-1_6ab7113b4030a\">Choose File<\/button><span data-empty-text=\"No file chosen\">No file chosen<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Delete uploaded file<\/span><\/button><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-11\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-11_6ab7113b4030a\" id=\"forminator-field-text-11_6ab7113b4030a-label\" class=\"forminator-label\">Evidence \/ link 1 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-11\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-11_6ab7113b4030a\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-12\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-12_6ab7113b4030a\" id=\"forminator-field-text-12_6ab7113b4030a-label\" class=\"forminator-label\">Evidence \/ link 2 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-12\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-12_6ab7113b4030a\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-13\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-13_6ab7113b4030a\" id=\"forminator-field-text-13_6ab7113b4030a-label\" class=\"forminator-label\">Evidence \/ link 3 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-13\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-13_6ab7113b4030a\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-14\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-14_6ab7113b4030a\" id=\"forminator-field-text-14_6ab7113b4030a-label\" class=\"forminator-label\">Evidence \/ link 4<\/label><input type=\"text\" name=\"text-14\" value=\"Optional\" placeholder=\"\" id=\"forminator-field-text-14_6ab7113b4030a\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-15\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-15_6ab7113b4030a\" id=\"forminator-field-text-15_6ab7113b4030a-label\" class=\"forminator-label\">Evidence \/ link 5<\/label><input type=\"text\" name=\"text-15\" value=\"Optional\" placeholder=\"\" id=\"forminator-field-text-15_6ab7113b4030a\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-16\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-16_6ab7113b4030a\" id=\"forminator-field-text-16_6ab7113b4030a-label\" class=\"forminator-label\">Access code or attachment names<\/label><input type=\"text\" name=\"text-16\" value=\"If applicable\" placeholder=\"\" id=\"forminator-field-text-16_6ab7113b4030a\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-13\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-13\"><div class=\"temvelo-section-title\">DECLARATION AND CONSENT<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-2\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-2-6ab7113b4030a-label\"><label id=\"forminator-field-checkbox-2-1-6ab7113b4030a-label\" for=\"forminator-field-checkbox-2-1-6ab7113b4030a\" class=\"forminator-checkbox\" title=\"I confirm that the information in this form is accurate and may be verified by the judging panel.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"I confirm that the information in this form is accurate and may be verified by the judging panel.\" id=\"forminator-field-checkbox-2-1-6ab7113b4030a\" aria-labelledby=\"forminator-field-checkbox-2-1-6ab7113b4030a-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I confirm that the information in this form is accurate and may be verified by the judging panel.<\/span><\/label><label id=\"forminator-field-checkbox-2-2-6ab7113b4030a-label\" for=\"forminator-field-checkbox-2-2-6ab7113b4030a\" class=\"forminator-checkbox\" title=\"I have authority to submit this application or nomination and the supporting material.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"I have authority to submit this application or nomination and the supporting material.\" id=\"forminator-field-checkbox-2-2-6ab7113b4030a\" aria-labelledby=\"forminator-field-checkbox-2-2-6ab7113b4030a-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I have authority to submit this application or nomination and the supporting material.<\/span><\/label><label id=\"forminator-field-checkbox-2-3-6ab7113b4030a-label\" for=\"forminator-field-checkbox-2-3-6ab7113b4030a\" class=\"forminator-checkbox\" title=\"I understand that shortlisted or winning entries may be publicised, subject to any confidentiality clearly identified in the submission.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"I understand that shortlisted or winning entries may be publicised, subject to any confidentiality clearly identified in the submission.\" id=\"forminator-field-checkbox-2-3-6ab7113b4030a\" aria-labelledby=\"forminator-field-checkbox-2-3-6ab7113b4030a-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I understand that shortlisted or winning entries may be publicised, subject to any confidentiality clearly identified in the submission.<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-17\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-17_6ab7113b4030a\" id=\"forminator-field-text-17_6ab7113b4030a-label\" class=\"forminator-label\">Name<\/label><input type=\"text\" name=\"text-17\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-17_6ab7113b4030a\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-18\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-18_6ab7113b4030a\" id=\"forminator-field-text-18_6ab7113b4030a-label\" class=\"forminator-label\">Capacity<\/label><input type=\"text\" name=\"text-18\" value=\"Nominee \/ nominator \/ authorised representative\" placeholder=\"\" id=\"forminator-field-text-18_6ab7113b4030a\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-20\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-20_6ab7113b4030a\" id=\"forminator-field-text-20_6ab7113b4030a-label\" class=\"forminator-label\">Signature<\/label><input type=\"text\" name=\"text-20\" value=\"Sign or type full name\" placeholder=\"\" id=\"forminator-field-text-20_6ab7113b4030a\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-19\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-19_6ab7113b4030a\" id=\"forminator-field-text-19_6ab7113b4030a-label\" class=\"forminator-label\">Date<\/label><input type=\"text\" name=\"text-19\" value=\"DD\/MM\/YYYY\" placeholder=\"\" id=\"forminator-field-text-19_6ab7113b4030a\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Submit<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"3f68ed7f84\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F223\" \/><input type=\"hidden\" name=\"form_id\" value=\"2242\"><input type=\"hidden\" name=\"page_id\" value=\"223\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/temvelo.co.za\/?page_id=223\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center alignfull has-nv-site-bg-color has-text-color has-background has-link-color wp-elements-6\" style=\"background-color:#1b9f00\">Government Entities Application Form<\/h2>\n\n\n<p><div class=\"forminator-ui forminator-custom-form forminator-custom-form-2248 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-2248\" data-uid=\"6ab7113b4530e\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-2248\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-2248 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"2248\"\n\t\t\t\tenctype=\"multipart\/form-data\" data-color-option=\"theme\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"6ab7113b4530e\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"html-1\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-1\"><div class=\"temvelo-header\">\n<h1>TEMVELO AWARDS 2026<\/h1>\n<h2>Application \/ Nomination Form | Government Entities<\/h2>\n<div class=\"temvelo-scoreline\">4 SCORED QUESTIONS | 100 POINTS | EVIDENCE-LED<\/div>\n<p>Tell one clear story. Use numbers where available and provide only evidence that supports your claims.<\/p>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-2\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-2\"><div class=\"temvelo-section-title\">1. SELECT ONE AWARD CATEGORY<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-1\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-1-6ab7113b4530e-label\"><span id=\"forminator-radiogroup-radio-1-6ab7113b4530e-label\" class=\"forminator-label\">Award Category <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-6ab7113b4530e\" class=\"forminator-radio\" title=\"Green Municipality Award\"><input type=\"radio\" name=\"radio-1\" value=\"Green Municipality Award\" id=\"forminator-field-radio-1-1-6ab7113b4530e\" aria-labelledby=\"forminator-field-radio-1-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Green Municipality Award<\/span><\/label><label id=\"forminator-field-radio-1-label-2\" for=\"forminator-field-radio-1-2-6ab7113b4530e\" class=\"forminator-radio\" title=\"Public Sector Green Procurement Award\"><input type=\"radio\" name=\"radio-1\" value=\"Public Sector Green Procurement Award\" id=\"forminator-field-radio-1-2-6ab7113b4530e\" aria-labelledby=\"forminator-field-radio-1-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Public Sector Green Procurement Award<\/span><\/label><label id=\"forminator-field-radio-1-label-3\" for=\"forminator-field-radio-1-3-6ab7113b4530e\" class=\"forminator-radio\" title=\"Green State-Owned Entities Award\"><input type=\"radio\" name=\"radio-1\" value=\"Green State-Owned Entities Award\" id=\"forminator-field-radio-1-3-6ab7113b4530e\" aria-labelledby=\"forminator-field-radio-1-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Green State-Owned Entities Award<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-3\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-3\"><p class=\"temvelo-note\">Place an X in one box.<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-4\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-4\"><div class=\"temvelo-section-title\">2. ENTRY DETAILS<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-6 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-6ab7113b4530e-label\"><span id=\"forminator-radiogroup-radio-2-6ab7113b4530e-label\" class=\"forminator-label\">Entry type <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-6ab7113b4530e\" class=\"forminator-radio forminator-radio-inline\" title=\"Self-application\"><input type=\"radio\" name=\"radio-2\" value=\"Self-application\" id=\"forminator-field-radio-2-1-6ab7113b4530e\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Self-application<\/span><\/label><label id=\"forminator-field-radio-2-label-2\" for=\"forminator-field-radio-2-2-6ab7113b4530e\" class=\"forminator-radio forminator-radio-inline\" title=\"Third-party nomination\"><input type=\"radio\" name=\"radio-2\" value=\"Third-party nomination\" id=\"forminator-field-radio-2-2-6ab7113b4530e\" aria-labelledby=\"forminator-field-radio-2-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Third-party nomination<\/span><\/label><\/div><\/div><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_6ab7113b4530e\" id=\"forminator-field-text-3_6ab7113b4530e-label\" class=\"forminator-label\">Nominee \/ organisation <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-3\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-3_6ab7113b4530e\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_6ab7113b4530e\" id=\"forminator-field-text-2_6ab7113b4530e-label\" class=\"forminator-label\">Contact person and position <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-2\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-2_6ab7113b4530e\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_6ab7113b4530e\" id=\"forminator-field-text-4_6ab7113b4530e-label\" class=\"forminator-label\">Telephone<\/label><input type=\"text\" name=\"text-4\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-4_6ab7113b4530e\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-6\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-6_6ab7113b4530e\" id=\"forminator-field-text-6_6ab7113b4530e-label\" class=\"forminator-label\">Email<\/label><input type=\"text\" name=\"text-6\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-6_6ab7113b4530e\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_6ab7113b4530e\" id=\"forminator-field-text-5_6ab7113b4530e-label\" class=\"forminator-label\">Region and town \/ locality<\/label><input type=\"text\" name=\"text-5\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-5_6ab7113b4530e\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-10\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-10_6ab7113b4530e\" id=\"forminator-field-text-10_6ab7113b4530e-label\" class=\"forminator-label\">Initiative \/ achievement title<\/label><input type=\"text\" name=\"text-10\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-10_6ab7113b4530e\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-9\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-9_6ab7113b4530e\" id=\"forminator-field-text-9_6ab7113b4530e-label\" class=\"forminator-label\">Start date and status<\/label><input type=\"text\" name=\"text-9\" value=\"Month\/year; ongoing or completed\" placeholder=\"\" id=\"forminator-field-text-9_6ab7113b4530e\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-8\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-8_6ab7113b4530e\" id=\"forminator-field-text-8_6ab7113b4530e-label\" class=\"forminator-label\">Website or social-media link<\/label><input type=\"text\" name=\"text-8\" value=\"Optional\" placeholder=\"\" id=\"forminator-field-text-8_6ab7113b4530e\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-7\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-7_6ab7113b4530e\" id=\"forminator-field-text-7_6ab7113b4530e-label\" class=\"forminator-label\">Nominator name, relationship and contact<\/label><input type=\"text\" name=\"text-7\" value=\"Only for third-party nominations\" placeholder=\"\" id=\"forminator-field-text-7_6ab7113b4530e\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-5\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-5\"><div class=\"temvelo-section-title\">3. ELIGIBILITY CHECK<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-6ab7113b4530e-label\"><label id=\"forminator-field-checkbox-1-1-6ab7113b4530e-label\" for=\"forminator-field-checkbox-1-1-6ab7113b4530e\" class=\"forminator-checkbox\" title=\"The work was carried out in, or directly benefits, South Africa\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"The work was carried out in, or directly benefits, South Africa\" id=\"forminator-field-checkbox-1-1-6ab7113b4530e\" aria-labelledby=\"forminator-field-checkbox-1-1-6ab7113b4530e-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">The work was carried out in, or directly benefits, South Africa<\/span><\/label><label id=\"forminator-field-checkbox-1-2-6ab7113b4530e-label\" for=\"forminator-field-checkbox-1-2-6ab7113b4530e\" class=\"forminator-checkbox\" title=\"The initiative was active or produced results during 2023-2026.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"The initiative was active or produced results during 2023-2026.\" id=\"forminator-field-checkbox-1-2-6ab7113b4530e\" aria-labelledby=\"forminator-field-checkbox-1-2-6ab7113b4530e-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">The initiative was active or produced results during 2023-2026.<\/span><\/label><label id=\"forminator-field-checkbox-1-3-6ab7113b4530e-label\" for=\"forminator-field-checkbox-1-3-6ab7113b4530e\" class=\"forminator-checkbox\" title=\"The nominee or organisation permits this entry and the information can be verified.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"The nominee or organisation permits this entry and the information can be verified.\" id=\"forminator-field-checkbox-1-3-6ab7113b4530e\" aria-labelledby=\"forminator-field-checkbox-1-3-6ab7113b4530e-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">The nominee or organisation permits this entry and the information can be verified.<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-7\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-7\"><div class=\"temvelo-section-title\">4. HOW THE ENTRY WILL BE JUDGED<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-6\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-6\"><div class=\"judging-grid\">\n    <div class=\"judging-item\">\n        <strong>Project merit and relevance<\/strong>\n        <span>20 points<\/span>\n    <\/div>\n\n    <div class=\"judging-item\">\n        <strong>Impact, evidence and why it should win<\/strong>\n        <span>35 points<\/span>\n    <\/div>\n\n    <div class=\"judging-item\">\n        <strong>Scalability \/ transferability<\/strong>\n        <span>20 points<\/span>\n    <\/div>\n\n    <div class=\"judging-item\">\n        <strong>Sustainability and lasting value<\/strong>\n        <span>25 points<\/span>\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-8\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-8\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 1 | The initiative and its merit<\/span>\n        <strong>20 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        Describe the public-sector initiative or service and the environmental need it addresses. State when and where it started, who is responsible, who benefits, and what is innovative or beyond routine practice.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-1\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-1_6ab7113b4530e\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-9\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-9\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 2 | Why this entry should win<\/span>\n        <strong>35 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        Why should this initiative win? Give the strongest measured results and evidence. These may include improved service delivery; reduced waste, water, energy or emissions; greener procurement; cost savings; public participation; jobs; or community benefits.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-2\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-2\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-2_6ab7113b4530e\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-10\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-10\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 3 | Scalability \/ transferability<\/span>\n        <strong>20 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        How can the initiative be expanded across the entity, other areas or other public institutions? Explain the policy, budget, systems, partnerships, skills or infrastructure needed.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-3\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-3\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-3_6ab7113b4530e\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-11\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-11\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 4 | Sustainability and lasting value<\/span>\n        <strong>25 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        How will the entity sustain the results? Explain accountability, budgets, procurement or operating procedures, staff capacity, maintenance, monitoring, risks and future targets.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-4\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-4\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-4_6ab7113b4530e\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-12\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-12\"><div class=\"temvelo-section-title\">SUPPORTING EVIDENCE<\/div>\n\n<p class=\"temvelo-section-description\">\nList up to five strong items that verify the results in your answers. Links are preferred; attachments must total no more than 10 MB. Shortlisted entrants may be asked for further verification and a short video.\n<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-1\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-1_6ab7113b4530e\" id=\"forminator-field-upload-1_6ab7113b4530e-label\" class=\"forminator-label\">Upload file<\/label><div class=\"forminator-file-upload \" data-element=\"upload-1_6ab7113b4530e\"><input type=\"file\" name=\"upload-1\" id=\"forminator-field-upload-1_6ab7113b4530e\" class=\"forminator-input-file\" accept=\".jpg,.jpeg,.jpe,.gif,.png,.bmp,.tiff,.tif,.webp,.avif,.ico,.heic,.heif,.heics,.heifs,.asf,.asx,.wmv,.wmx,.wm,.avi,.divx,.flv,.mov,.qt,.mpeg,.mpg,.mpe,.mp4,.m4v,.ogv,.webm,.mkv,.3gp,.3gpp,.3g2,.3gp2,.txt,.asc,.c,.cc,.h,.srt,.csv,.tsv,.ics,.rtx,.vtt,.mp3,.m4a,.m4b,.aac,.ra,.ram,.wav,.x-wav,.ogg,.oga,.flac,.mid,.midi,.wma,.wax,.mka,.rtf,.pdf,.class,.tar,.zip,.gz,.gzip,.7z,.psd,.xcf,.doc,.pot,.pps,.ppt,.wri,.xla,.xls,.xlt,.xlw,.mdb,.mpp,.docx,.docm,.dotx,.dotm,.xlsx,.xlsm,.xlsb,.xltx,.xltm,.xlam,.pptx,.pptm,.ppsx,.ppsm,.potx,.potm,.ppam,.sldx,.sldm,.onetoc,.onetoc2,.onetmp,.onepkg,.oxps,.xps,.odt,.odp,.ods,.odg,.odc,.odb,.odf,.wp,.wpd,.key,.numbers,.pages\" tabindex=\"-1\"><button id=\"forminator-field-upload-1_6ab7113b4530e_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-1_6ab7113b4530e\">Choose File<\/button><span data-empty-text=\"No file chosen\">No file chosen<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Delete uploaded file<\/span><\/button><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-11\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-11_6ab7113b4530e\" id=\"forminator-field-text-11_6ab7113b4530e-label\" class=\"forminator-label\">Evidence \/ link 1 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-11\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-11_6ab7113b4530e\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-12\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-12_6ab7113b4530e\" id=\"forminator-field-text-12_6ab7113b4530e-label\" class=\"forminator-label\">Evidence \/ link 2 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-12\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-12_6ab7113b4530e\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-13\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-13_6ab7113b4530e\" id=\"forminator-field-text-13_6ab7113b4530e-label\" class=\"forminator-label\">Evidence \/ link 3 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-13\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-13_6ab7113b4530e\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-14\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-14_6ab7113b4530e\" id=\"forminator-field-text-14_6ab7113b4530e-label\" class=\"forminator-label\">Evidence \/ link 4<\/label><input type=\"text\" name=\"text-14\" value=\"Optional\" placeholder=\"\" id=\"forminator-field-text-14_6ab7113b4530e\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-15\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-15_6ab7113b4530e\" id=\"forminator-field-text-15_6ab7113b4530e-label\" class=\"forminator-label\">Evidence \/ link 5<\/label><input type=\"text\" name=\"text-15\" value=\"Optional\" placeholder=\"\" id=\"forminator-field-text-15_6ab7113b4530e\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-16\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-16_6ab7113b4530e\" id=\"forminator-field-text-16_6ab7113b4530e-label\" class=\"forminator-label\">Access code or attachment names<\/label><input type=\"text\" name=\"text-16\" value=\"If applicable\" placeholder=\"\" id=\"forminator-field-text-16_6ab7113b4530e\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-13\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-13\"><div class=\"temvelo-section-title\">DECLARATION AND CONSENT<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-2\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-2-6ab7113b4530e-label\"><label id=\"forminator-field-checkbox-2-1-6ab7113b4530e-label\" for=\"forminator-field-checkbox-2-1-6ab7113b4530e\" class=\"forminator-checkbox\" title=\"I confirm that the information in this form is accurate and may be verified by the judging panel.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"I confirm that the information in this form is accurate and may be verified by the judging panel.\" id=\"forminator-field-checkbox-2-1-6ab7113b4530e\" aria-labelledby=\"forminator-field-checkbox-2-1-6ab7113b4530e-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I confirm that the information in this form is accurate and may be verified by the judging panel.<\/span><\/label><label id=\"forminator-field-checkbox-2-2-6ab7113b4530e-label\" for=\"forminator-field-checkbox-2-2-6ab7113b4530e\" class=\"forminator-checkbox\" title=\"I have authority to submit this application or nomination and the supporting material.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"I have authority to submit this application or nomination and the supporting material.\" id=\"forminator-field-checkbox-2-2-6ab7113b4530e\" aria-labelledby=\"forminator-field-checkbox-2-2-6ab7113b4530e-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I have authority to submit this application or nomination and the supporting material.<\/span><\/label><label id=\"forminator-field-checkbox-2-3-6ab7113b4530e-label\" for=\"forminator-field-checkbox-2-3-6ab7113b4530e\" class=\"forminator-checkbox\" title=\"I understand that shortlisted or winning entries may be publicised, subject to any confidentiality clearly identified in the submission.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"I understand that shortlisted or winning entries may be publicised, subject to any confidentiality clearly identified in the submission.\" id=\"forminator-field-checkbox-2-3-6ab7113b4530e\" aria-labelledby=\"forminator-field-checkbox-2-3-6ab7113b4530e-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I understand that shortlisted or winning entries may be publicised, subject to any confidentiality clearly identified in the submission.<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-17\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-17_6ab7113b4530e\" id=\"forminator-field-text-17_6ab7113b4530e-label\" class=\"forminator-label\">Name<\/label><input type=\"text\" name=\"text-17\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-17_6ab7113b4530e\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-18\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-18_6ab7113b4530e\" id=\"forminator-field-text-18_6ab7113b4530e-label\" class=\"forminator-label\">Capacity<\/label><input type=\"text\" name=\"text-18\" value=\"Nominee \/ nominator \/ authorised representative\" placeholder=\"\" id=\"forminator-field-text-18_6ab7113b4530e\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-20\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-20_6ab7113b4530e\" id=\"forminator-field-text-20_6ab7113b4530e-label\" class=\"forminator-label\">Signature<\/label><input type=\"text\" name=\"text-20\" value=\"Sign or type full name\" placeholder=\"\" id=\"forminator-field-text-20_6ab7113b4530e\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-19\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-19_6ab7113b4530e\" id=\"forminator-field-text-19_6ab7113b4530e-label\" class=\"forminator-label\">Date<\/label><input type=\"text\" name=\"text-19\" value=\"DD\/MM\/YYYY\" placeholder=\"\" id=\"forminator-field-text-19_6ab7113b4530e\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Submit<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"a4d6dda9ec\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F223\" \/><input type=\"hidden\" name=\"form_id\" value=\"2248\"><input type=\"hidden\" name=\"page_id\" value=\"223\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/temvelo.co.za\/?page_id=223\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center alignfull has-nv-site-bg-color has-text-color has-background has-link-color wp-elements-7\" style=\"background-color:#1b9f00\">Mining Application Form<\/h2>\n\n\n<p><div class=\"forminator-ui forminator-custom-form forminator-custom-form-2259 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-2259\" data-uid=\"6ab7113b4a0c6\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-2259\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-2259 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"2259\"\n\t\t\t\tenctype=\"multipart\/form-data\" data-color-option=\"theme\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"6ab7113b4a0c6\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"html-1\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-1\"><div class=\"temvelo-header\">\n<h1>TEMVELO AWARDS 2026<\/h1>\n<h2>Application \/ Nomination Form | Mining<\/h2>\n<div class=\"temvelo-scoreline\">4 SCORED QUESTIONS | 100 POINTS | EVIDENCE-LED<\/div>\n<p>Tell one clear story. Use numbers where available and provide only evidence that supports your claims.<\/p>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-2\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-2\"><div class=\"temvelo-section-title\">1. SELECT ONE AWARD CATEGORY<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-1\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-1-6ab7113b4a0c6-label\"><span id=\"forminator-radiogroup-radio-1-6ab7113b4a0c6-label\" class=\"forminator-label\">Award Category <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-6ab7113b4a0c6\" class=\"forminator-radio\" title=\"Sustainable Mining Operations and Safety Award\"><input type=\"radio\" name=\"radio-1\" value=\"Sustainable Mining Operations and Safety Award\" id=\"forminator-field-radio-1-1-6ab7113b4a0c6\" aria-labelledby=\"forminator-field-radio-1-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Sustainable Mining Operations and Safety Award<\/span><\/label><label id=\"forminator-field-radio-1-label-2\" for=\"forminator-field-radio-1-2-6ab7113b4a0c6\" class=\"forminator-radio\" title=\"Mining Environmental and Social Governance Award\"><input type=\"radio\" name=\"radio-1\" value=\"Mining Environmental and Social Governance Award\" id=\"forminator-field-radio-1-2-6ab7113b4a0c6\" aria-labelledby=\"forminator-field-radio-1-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Mining Environmental and Social Governance Award<\/span><\/label><label id=\"forminator-field-radio-1-label-3\" for=\"forminator-field-radio-1-3-6ab7113b4a0c6\" class=\"forminator-radio\" title=\"Water Efficiency Excellence Award\"><input type=\"radio\" name=\"radio-1\" value=\"Water Efficiency Excellence Award\" id=\"forminator-field-radio-1-3-6ab7113b4a0c6\" aria-labelledby=\"forminator-field-radio-1-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Water Efficiency Excellence Award<\/span><\/label><label id=\"forminator-field-radio-1-label-4\" for=\"forminator-field-radio-1-4-6ab7113b4a0c6\" class=\"forminator-radio\" title=\"Outstanding Land Rehabilitation Award\"><input type=\"radio\" name=\"radio-1\" value=\"Outstanding Land Rehabilitation Award\" id=\"forminator-field-radio-1-4-6ab7113b4a0c6\" aria-labelledby=\"forminator-field-radio-1-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Outstanding Land Rehabilitation Award<\/span><\/label><label id=\"forminator-field-radio-1-label-5\" for=\"forminator-field-radio-1-5-6ab7113b4a0c6\" class=\"forminator-radio\" title=\"Energy Efficiency Innovation Award\"><input type=\"radio\" name=\"radio-1\" value=\"Energy Efficiency Innovation Award\" id=\"forminator-field-radio-1-5-6ab7113b4a0c6\" aria-labelledby=\"forminator-field-radio-1-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Energy Efficiency Innovation Award<\/span><\/label><label id=\"forminator-field-radio-1-label-6\" for=\"forminator-field-radio-1-6-6ab7113b4a0c6\" class=\"forminator-radio\" title=\"Waste Management Leadership Award\"><input type=\"radio\" name=\"radio-1\" value=\"Waste Management Leadership Award\" id=\"forminator-field-radio-1-6-6ab7113b4a0c6\" aria-labelledby=\"forminator-field-radio-1-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Waste Management Leadership Award<\/span><\/label><label id=\"forminator-field-radio-1-label-7\" for=\"forminator-field-radio-1-7-6ab7113b4a0c6\" class=\"forminator-radio\" title=\"Waste Beneficiation Pioneer Award\"><input type=\"radio\" name=\"radio-1\" value=\"Waste Beneficiation Pioneer Award\" id=\"forminator-field-radio-1-7-6ab7113b4a0c6\" aria-labelledby=\"forminator-field-radio-1-label-7\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Waste Beneficiation Pioneer Award<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-3\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-3\"><p class=\"temvelo-note\">Place an X in one box.<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-4\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-4\"><div class=\"temvelo-section-title\">2. ENTRY DETAILS<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-6 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-6ab7113b4a0c6-label\"><span id=\"forminator-radiogroup-radio-2-6ab7113b4a0c6-label\" class=\"forminator-label\">Entry type <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-6ab7113b4a0c6\" class=\"forminator-radio forminator-radio-inline\" title=\"Self-application\"><input type=\"radio\" name=\"radio-2\" value=\"Self-application\" id=\"forminator-field-radio-2-1-6ab7113b4a0c6\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Self-application<\/span><\/label><label id=\"forminator-field-radio-2-label-2\" for=\"forminator-field-radio-2-2-6ab7113b4a0c6\" class=\"forminator-radio forminator-radio-inline\" title=\"Third-party nomination\"><input type=\"radio\" name=\"radio-2\" value=\"Third-party nomination\" id=\"forminator-field-radio-2-2-6ab7113b4a0c6\" aria-labelledby=\"forminator-field-radio-2-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Third-party nomination<\/span><\/label><\/div><\/div><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_6ab7113b4a0c6\" id=\"forminator-field-text-3_6ab7113b4a0c6-label\" class=\"forminator-label\">Nominee \/ organisation <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-3\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-3_6ab7113b4a0c6\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_6ab7113b4a0c6\" id=\"forminator-field-text-2_6ab7113b4a0c6-label\" class=\"forminator-label\">Contact person and position <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-2\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-2_6ab7113b4a0c6\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_6ab7113b4a0c6\" id=\"forminator-field-text-4_6ab7113b4a0c6-label\" class=\"forminator-label\">Telephone<\/label><input type=\"text\" name=\"text-4\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-4_6ab7113b4a0c6\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-6\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-6_6ab7113b4a0c6\" id=\"forminator-field-text-6_6ab7113b4a0c6-label\" class=\"forminator-label\">Email<\/label><input type=\"text\" name=\"text-6\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-6_6ab7113b4a0c6\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_6ab7113b4a0c6\" id=\"forminator-field-text-5_6ab7113b4a0c6-label\" class=\"forminator-label\">Region and town \/ locality<\/label><input type=\"text\" name=\"text-5\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-5_6ab7113b4a0c6\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-10\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-10_6ab7113b4a0c6\" id=\"forminator-field-text-10_6ab7113b4a0c6-label\" class=\"forminator-label\">Initiative \/ achievement title<\/label><input type=\"text\" name=\"text-10\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-10_6ab7113b4a0c6\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-9\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-9_6ab7113b4a0c6\" id=\"forminator-field-text-9_6ab7113b4a0c6-label\" class=\"forminator-label\">Start date and status<\/label><input type=\"text\" name=\"text-9\" value=\"Month\/year; ongoing or completed\" placeholder=\"\" id=\"forminator-field-text-9_6ab7113b4a0c6\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-8\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-8_6ab7113b4a0c6\" id=\"forminator-field-text-8_6ab7113b4a0c6-label\" class=\"forminator-label\">Website or social-media link<\/label><input type=\"text\" name=\"text-8\" value=\"Optional\" placeholder=\"\" id=\"forminator-field-text-8_6ab7113b4a0c6\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-7\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-7_6ab7113b4a0c6\" id=\"forminator-field-text-7_6ab7113b4a0c6-label\" class=\"forminator-label\">Nominator name, relationship and contact<\/label><input type=\"text\" name=\"text-7\" value=\"Only for third-party nominations\" placeholder=\"\" id=\"forminator-field-text-7_6ab7113b4a0c6\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-5\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-5\"><div class=\"temvelo-section-title\">3. ELIGIBILITY CHECK<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-6ab7113b4a0c6-label\"><label id=\"forminator-field-checkbox-1-1-6ab7113b4a0c6-label\" for=\"forminator-field-checkbox-1-1-6ab7113b4a0c6\" class=\"forminator-checkbox\" title=\"The work was carried out in, or directly benefits, South Africa.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"The work was carried out in, or directly benefits, South Africa.\" id=\"forminator-field-checkbox-1-1-6ab7113b4a0c6\" aria-labelledby=\"forminator-field-checkbox-1-1-6ab7113b4a0c6-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">The work was carried out in, or directly benefits, South Africa.<\/span><\/label><label id=\"forminator-field-checkbox-1-2-6ab7113b4a0c6-label\" for=\"forminator-field-checkbox-1-2-6ab7113b4a0c6\" class=\"forminator-checkbox\" title=\"The initiative was active or produced results during 2023-2026.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"The initiative was active or produced results during 2023-2026.\" id=\"forminator-field-checkbox-1-2-6ab7113b4a0c6\" aria-labelledby=\"forminator-field-checkbox-1-2-6ab7113b4a0c6-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">The initiative was active or produced results during 2023-2026.<\/span><\/label><label id=\"forminator-field-checkbox-1-3-6ab7113b4a0c6-label\" for=\"forminator-field-checkbox-1-3-6ab7113b4a0c6\" class=\"forminator-checkbox\" title=\"The nominee or organisation permits this entry and the information can be verified.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"The nominee or organisation permits this entry and the information can be verified.\" id=\"forminator-field-checkbox-1-3-6ab7113b4a0c6\" aria-labelledby=\"forminator-field-checkbox-1-3-6ab7113b4a0c6-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">The nominee or organisation permits this entry and the information can be verified.<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-7\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-7\"><div class=\"temvelo-section-title\">4. HOW THE ENTRY WILL BE JUDGED<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-6\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-6\"><div class=\"judging-grid\">\n    <div class=\"judging-item\">\n        <strong>Project merit and relevance<\/strong>\n        <span>20 points<\/span>\n    <\/div>\n\n    <div class=\"judging-item\">\n        <strong>Impact, evidence and why it should win<\/strong>\n        <span>35 points<\/span>\n    <\/div>\n\n    <div class=\"judging-item\">\n        <strong>Scalability \/ transferability<\/strong>\n        <span>20 points<\/span>\n    <\/div>\n\n    <div class=\"judging-item\">\n        <strong>Sustainability and lasting value<\/strong>\n        <span>25 points<\/span>\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-8\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-8\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 1 | The initiative and its merit<\/span>\n        <strong>20 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        Describe the mining initiative or operational improvement and the environmental or social need it addresses. State when and where it started, who is responsible, and what is innovative or goes beyond routine compliance.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-1\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-1_6ab7113b4a0c6\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-9\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-9\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 2 | Why this entry should win<\/span>\n        <strong>35 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        Why should this initiative win? Give the strongest measured results against a clear baseline. These may include safer operations; reduced water, energy, waste, emissions or pollution; rehabilitation; biodiversity; governance; worker or community benefits; jobs; or savings.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-2\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-2\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-2_6ab7113b4a0c6\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-10\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-10\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 3 | Scalability \/ transferability<\/span>\n        <strong>20 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        How can the approach be expanded across the operation, value chain or other mining sites? Explain the technology, skills, investment, partnerships, approvals and safeguards needed.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-3\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-3\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-3_6ab7113b4a0c6\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-11\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-11\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 4 | Sustainability and lasting value<\/span>\n        <strong>25 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        How will the results be sustained through the mine life and closure? Explain governance, financing, operating procedures, maintenance, monitoring, community participation, rehabilitation or closure planning, risks and future targets.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-4\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-4\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-4_6ab7113b4a0c6\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-12\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-12\"><div class=\"temvelo-section-title\">SUPPORTING EVIDENCE<\/div>\n\n<p class=\"temvelo-section-description\">\nList up to five strong items that verify the results in your answers. Links are preferred; attachments must total no more than 10 MB. Shortlisted entrants may be asked for further verification and a short video.\n<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-1\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-1_6ab7113b4a0c6\" id=\"forminator-field-upload-1_6ab7113b4a0c6-label\" class=\"forminator-label\">Upload file<\/label><div class=\"forminator-file-upload \" data-element=\"upload-1_6ab7113b4a0c6\"><input type=\"file\" name=\"upload-1\" id=\"forminator-field-upload-1_6ab7113b4a0c6\" class=\"forminator-input-file\" accept=\".jpg,.jpeg,.jpe,.gif,.png,.bmp,.tiff,.tif,.webp,.avif,.ico,.heic,.heif,.heics,.heifs,.asf,.asx,.wmv,.wmx,.wm,.avi,.divx,.flv,.mov,.qt,.mpeg,.mpg,.mpe,.mp4,.m4v,.ogv,.webm,.mkv,.3gp,.3gpp,.3g2,.3gp2,.txt,.asc,.c,.cc,.h,.srt,.csv,.tsv,.ics,.rtx,.vtt,.mp3,.m4a,.m4b,.aac,.ra,.ram,.wav,.x-wav,.ogg,.oga,.flac,.mid,.midi,.wma,.wax,.mka,.rtf,.pdf,.class,.tar,.zip,.gz,.gzip,.7z,.psd,.xcf,.doc,.pot,.pps,.ppt,.wri,.xla,.xls,.xlt,.xlw,.mdb,.mpp,.docx,.docm,.dotx,.dotm,.xlsx,.xlsm,.xlsb,.xltx,.xltm,.xlam,.pptx,.pptm,.ppsx,.ppsm,.potx,.potm,.ppam,.sldx,.sldm,.onetoc,.onetoc2,.onetmp,.onepkg,.oxps,.xps,.odt,.odp,.ods,.odg,.odc,.odb,.odf,.wp,.wpd,.key,.numbers,.pages\" tabindex=\"-1\"><button id=\"forminator-field-upload-1_6ab7113b4a0c6_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-1_6ab7113b4a0c6\">Choose File<\/button><span data-empty-text=\"No file chosen\">No file chosen<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Delete uploaded file<\/span><\/button><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-11\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-11_6ab7113b4a0c6\" id=\"forminator-field-text-11_6ab7113b4a0c6-label\" class=\"forminator-label\">Evidence \/ link 1 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-11\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-11_6ab7113b4a0c6\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-12\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-12_6ab7113b4a0c6\" id=\"forminator-field-text-12_6ab7113b4a0c6-label\" class=\"forminator-label\">Evidence \/ link 2 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-12\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-12_6ab7113b4a0c6\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-13\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-13_6ab7113b4a0c6\" id=\"forminator-field-text-13_6ab7113b4a0c6-label\" class=\"forminator-label\">Evidence \/ link 3 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-13\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-13_6ab7113b4a0c6\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-14\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-14_6ab7113b4a0c6\" id=\"forminator-field-text-14_6ab7113b4a0c6-label\" class=\"forminator-label\">Evidence \/ link 4<\/label><input type=\"text\" name=\"text-14\" value=\"Optional\" placeholder=\"\" id=\"forminator-field-text-14_6ab7113b4a0c6\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-15\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-15_6ab7113b4a0c6\" id=\"forminator-field-text-15_6ab7113b4a0c6-label\" class=\"forminator-label\">Evidence \/ link 5<\/label><input type=\"text\" name=\"text-15\" value=\"Optional\" placeholder=\"\" id=\"forminator-field-text-15_6ab7113b4a0c6\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-16\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-16_6ab7113b4a0c6\" id=\"forminator-field-text-16_6ab7113b4a0c6-label\" class=\"forminator-label\">Access code or attachment names<\/label><input type=\"text\" name=\"text-16\" value=\"If applicable\" placeholder=\"\" id=\"forminator-field-text-16_6ab7113b4a0c6\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-13\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-13\"><div class=\"temvelo-section-title\">DECLARATION AND CONSENT<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-2\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-2-6ab7113b4a0c6-label\"><label id=\"forminator-field-checkbox-2-1-6ab7113b4a0c6-label\" for=\"forminator-field-checkbox-2-1-6ab7113b4a0c6\" class=\"forminator-checkbox\" title=\"I confirm that the information in this form is accurate and may be verified by the judging panel.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"I confirm that the information in this form is accurate and may be verified by the judging panel.\" id=\"forminator-field-checkbox-2-1-6ab7113b4a0c6\" aria-labelledby=\"forminator-field-checkbox-2-1-6ab7113b4a0c6-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I confirm that the information in this form is accurate and may be verified by the judging panel.<\/span><\/label><label id=\"forminator-field-checkbox-2-2-6ab7113b4a0c6-label\" for=\"forminator-field-checkbox-2-2-6ab7113b4a0c6\" class=\"forminator-checkbox\" title=\"I have authority to submit this application or nomination and the supporting material.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"I have authority to submit this application or nomination and the supporting material.\" id=\"forminator-field-checkbox-2-2-6ab7113b4a0c6\" aria-labelledby=\"forminator-field-checkbox-2-2-6ab7113b4a0c6-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I have authority to submit this application or nomination and the supporting material.<\/span><\/label><label id=\"forminator-field-checkbox-2-3-6ab7113b4a0c6-label\" for=\"forminator-field-checkbox-2-3-6ab7113b4a0c6\" class=\"forminator-checkbox\" title=\"I understand that shortlisted or winning entries may be publicised, subject to any confidentiality clearly identified in the submission.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"I understand that shortlisted or winning entries may be publicised, subject to any confidentiality clearly identified in the submission.\" id=\"forminator-field-checkbox-2-3-6ab7113b4a0c6\" aria-labelledby=\"forminator-field-checkbox-2-3-6ab7113b4a0c6-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I understand that shortlisted or winning entries may be publicised, subject to any confidentiality clearly identified in the submission.<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-17\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-17_6ab7113b4a0c6\" id=\"forminator-field-text-17_6ab7113b4a0c6-label\" class=\"forminator-label\">Name<\/label><input type=\"text\" name=\"text-17\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-17_6ab7113b4a0c6\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-18\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-18_6ab7113b4a0c6\" id=\"forminator-field-text-18_6ab7113b4a0c6-label\" class=\"forminator-label\">Capacity<\/label><input type=\"text\" name=\"text-18\" value=\"Nominee \/ nominator \/ authorised representative\" placeholder=\"\" id=\"forminator-field-text-18_6ab7113b4a0c6\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-20\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-20_6ab7113b4a0c6\" id=\"forminator-field-text-20_6ab7113b4a0c6-label\" class=\"forminator-label\">Signature<\/label><input type=\"text\" name=\"text-20\" value=\"Sign or type full name\" placeholder=\"\" id=\"forminator-field-text-20_6ab7113b4a0c6\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-19\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-19_6ab7113b4a0c6\" id=\"forminator-field-text-19_6ab7113b4a0c6-label\" class=\"forminator-label\">Date<\/label><input type=\"text\" name=\"text-19\" value=\"DD\/MM\/YYYY\" placeholder=\"\" id=\"forminator-field-text-19_6ab7113b4a0c6\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Submit<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"40475f8140\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F223\" \/><input type=\"hidden\" name=\"form_id\" value=\"2259\"><input type=\"hidden\" name=\"page_id\" value=\"223\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/temvelo.co.za\/?page_id=223\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center alignfull has-nv-site-bg-color has-text-color has-background has-link-color wp-elements-8\" style=\"background-color:#1b9f00\">Industry Application Form<\/h2>\n\n\n<p><div class=\"forminator-ui forminator-custom-form forminator-custom-form-2252 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-2252\" data-uid=\"6ab7113b4eff2\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-2252\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-2252 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"2252\"\n\t\t\t\tenctype=\"multipart\/form-data\" data-color-option=\"theme\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"6ab7113b4eff2\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"html-1\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-1\"><div class=\"temvelo-header\">\n<h1>TEMVELO AWARDS 2026<\/h1>\n<h2>Application \/ Nomination Form | Industry<\/h2>\n<div class=\"temvelo-scoreline\">4 SCORED QUESTIONS | 100 POINTS | EVIDENCE-LED<\/div>\n<p>Tell one clear story. Use numbers where available and provide only evidence that supports your claims.<\/p>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-2\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-2\"><div class=\"temvelo-section-title\">1. SELECT ONE AWARD CATEGORY<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-1\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-1-6ab7113b4eff2-label\"><span id=\"forminator-radiogroup-radio-1-6ab7113b4eff2-label\" class=\"forminator-label\">Award Category <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-6ab7113b4eff2\" class=\"forminator-radio\" title=\"Circular Economy Innovation Award\"><input type=\"radio\" name=\"radio-1\" value=\"Circular Economy Innovation Award\" id=\"forminator-field-radio-1-1-6ab7113b4eff2\" aria-labelledby=\"forminator-field-radio-1-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Circular Economy Innovation Award<\/span><\/label><label id=\"forminator-field-radio-1-label-2\" for=\"forminator-field-radio-1-2-6ab7113b4eff2\" class=\"forminator-radio\" title=\"Water Efficiency Excellence in Industry Award\"><input type=\"radio\" name=\"radio-1\" value=\"Water Efficiency Excellence in Industry Award\" id=\"forminator-field-radio-1-2-6ab7113b4eff2\" aria-labelledby=\"forminator-field-radio-1-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Water Efficiency Excellence in Industry Award<\/span><\/label><label id=\"forminator-field-radio-1-label-3\" for=\"forminator-field-radio-1-3-6ab7113b4eff2\" class=\"forminator-radio\" title=\"Energy Efficiency Champion in Industry Award\"><input type=\"radio\" name=\"radio-1\" value=\"Energy Efficiency Champion in Industry Award\" id=\"forminator-field-radio-1-3-6ab7113b4eff2\" aria-labelledby=\"forminator-field-radio-1-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Energy Efficiency Champion in Industry Award<\/span><\/label><label id=\"forminator-field-radio-1-label-4\" for=\"forminator-field-radio-1-4-6ab7113b4eff2\" class=\"forminator-radio\" title=\"Sustainable Manufacturing Industry Award\"><input type=\"radio\" name=\"radio-1\" value=\"Sustainable Manufacturing Industry Award\" id=\"forminator-field-radio-1-4-6ab7113b4eff2\" aria-labelledby=\"forminator-field-radio-1-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Sustainable Manufacturing Industry Award<\/span><\/label><label id=\"forminator-field-radio-1-label-5\" for=\"forminator-field-radio-1-5-6ab7113b4eff2\" class=\"forminator-radio\" title=\"Sustainable Oil and Gas Industry Award\"><input type=\"radio\" name=\"radio-1\" value=\"Sustainable Oil and Gas Industry Award\" id=\"forminator-field-radio-1-5-6ab7113b4eff2\" aria-labelledby=\"forminator-field-radio-1-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Sustainable Oil and Gas Industry Award<\/span><\/label><label id=\"forminator-field-radio-1-label-6\" for=\"forminator-field-radio-1-6-6ab7113b4eff2\" class=\"forminator-radio\" title=\"Sustainable Construction Industry Award\"><input type=\"radio\" name=\"radio-1\" value=\"Sustainable Construction Industry Award\" id=\"forminator-field-radio-1-6-6ab7113b4eff2\" aria-labelledby=\"forminator-field-radio-1-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Sustainable Construction Industry Award<\/span><\/label><label id=\"forminator-field-radio-1-label-7\" for=\"forminator-field-radio-1-7-6ab7113b4eff2\" class=\"forminator-radio\" title=\"Climate-Smart Buildings Award\"><input type=\"radio\" name=\"radio-1\" value=\"Climate-Smart Buildings Award\" id=\"forminator-field-radio-1-7-6ab7113b4eff2\" aria-labelledby=\"forminator-field-radio-1-label-7\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Climate-Smart Buildings Award<\/span><\/label><label id=\"forminator-field-radio-1-label-8\" for=\"forminator-field-radio-1-8-6ab7113b4eff2\" class=\"forminator-radio\" title=\"Product Innovation Award\"><input type=\"radio\" name=\"radio-1\" value=\"Product Innovation Award\" id=\"forminator-field-radio-1-8-6ab7113b4eff2\" aria-labelledby=\"forminator-field-radio-1-label-8\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Product Innovation Award<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-3\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-3\"><p class=\"temvelo-note\">Place an X in one box.<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-4\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-4\"><div class=\"temvelo-section-title\">2. ENTRY DETAILS<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-6 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-6ab7113b4eff2-label\"><span id=\"forminator-radiogroup-radio-2-6ab7113b4eff2-label\" class=\"forminator-label\">Entry type <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-6ab7113b4eff2\" class=\"forminator-radio forminator-radio-inline\" title=\"Self-application\"><input type=\"radio\" name=\"radio-2\" value=\"Self-application\" id=\"forminator-field-radio-2-1-6ab7113b4eff2\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Self-application<\/span><\/label><label id=\"forminator-field-radio-2-label-2\" for=\"forminator-field-radio-2-2-6ab7113b4eff2\" class=\"forminator-radio forminator-radio-inline\" title=\"Third-party nomination\"><input type=\"radio\" name=\"radio-2\" value=\"Third-party nomination\" id=\"forminator-field-radio-2-2-6ab7113b4eff2\" aria-labelledby=\"forminator-field-radio-2-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Third-party nomination<\/span><\/label><\/div><\/div><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_6ab7113b4eff2\" id=\"forminator-field-text-3_6ab7113b4eff2-label\" class=\"forminator-label\">Nominee \/ organisation <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-3\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-3_6ab7113b4eff2\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_6ab7113b4eff2\" id=\"forminator-field-text-2_6ab7113b4eff2-label\" class=\"forminator-label\">Contact person and position <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-2\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-2_6ab7113b4eff2\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_6ab7113b4eff2\" id=\"forminator-field-text-4_6ab7113b4eff2-label\" class=\"forminator-label\">Telephone<\/label><input type=\"text\" name=\"text-4\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-4_6ab7113b4eff2\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-6\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-6_6ab7113b4eff2\" id=\"forminator-field-text-6_6ab7113b4eff2-label\" class=\"forminator-label\">Email<\/label><input type=\"text\" name=\"text-6\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-6_6ab7113b4eff2\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_6ab7113b4eff2\" id=\"forminator-field-text-5_6ab7113b4eff2-label\" class=\"forminator-label\">Region and town \/ locality<\/label><input type=\"text\" name=\"text-5\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-5_6ab7113b4eff2\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-10\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-10_6ab7113b4eff2\" id=\"forminator-field-text-10_6ab7113b4eff2-label\" class=\"forminator-label\">Initiative \/ achievement title<\/label><input type=\"text\" name=\"text-10\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-10_6ab7113b4eff2\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-9\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-9_6ab7113b4eff2\" id=\"forminator-field-text-9_6ab7113b4eff2-label\" class=\"forminator-label\">Start date and status<\/label><input type=\"text\" name=\"text-9\" value=\"Month\/year; ongoing or completed\" placeholder=\"\" id=\"forminator-field-text-9_6ab7113b4eff2\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-8\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-8_6ab7113b4eff2\" id=\"forminator-field-text-8_6ab7113b4eff2-label\" class=\"forminator-label\">Website or social-media link<\/label><input type=\"text\" name=\"text-8\" value=\"Optional\" placeholder=\"\" id=\"forminator-field-text-8_6ab7113b4eff2\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-7\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-7_6ab7113b4eff2\" id=\"forminator-field-text-7_6ab7113b4eff2-label\" class=\"forminator-label\">Nominator name, relationship and contact<\/label><input type=\"text\" name=\"text-7\" value=\"Only for third-party nominations\" placeholder=\"\" id=\"forminator-field-text-7_6ab7113b4eff2\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-5\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-5\"><div class=\"temvelo-section-title\">3. ELIGIBILITY CHECK<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-6ab7113b4eff2-label\"><label id=\"forminator-field-checkbox-1-1-6ab7113b4eff2-label\" for=\"forminator-field-checkbox-1-1-6ab7113b4eff2\" class=\"forminator-checkbox\" title=\"The work was carried out in, or directly benefits, South Africa.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"The work was carried out in, or directly benefits, South Africa.\" id=\"forminator-field-checkbox-1-1-6ab7113b4eff2\" aria-labelledby=\"forminator-field-checkbox-1-1-6ab7113b4eff2-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">The work was carried out in, or directly benefits, South Africa.<\/span><\/label><label id=\"forminator-field-checkbox-1-2-6ab7113b4eff2-label\" for=\"forminator-field-checkbox-1-2-6ab7113b4eff2\" class=\"forminator-checkbox\" title=\"The initiative was active or produced results during 2023-2026.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"The initiative was active or produced results during 2023-2026.\" id=\"forminator-field-checkbox-1-2-6ab7113b4eff2\" aria-labelledby=\"forminator-field-checkbox-1-2-6ab7113b4eff2-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">The initiative was active or produced results during 2023-2026.<\/span><\/label><label id=\"forminator-field-checkbox-1-3-6ab7113b4eff2-label\" for=\"forminator-field-checkbox-1-3-6ab7113b4eff2\" class=\"forminator-checkbox\" title=\"The nominee or organisation permits this entry and the information can be verified.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"The nominee or organisation permits this entry and the information can be verified.\" id=\"forminator-field-checkbox-1-3-6ab7113b4eff2\" aria-labelledby=\"forminator-field-checkbox-1-3-6ab7113b4eff2-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">The nominee or organisation permits this entry and the information can be verified.<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-7\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-7\"><div class=\"temvelo-section-title\">4. HOW THE ENTRY WILL BE JUDGED<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-6\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-6\"><div class=\"judging-grid\">\n    <div class=\"judging-item\">\n        <strong>Project merit and relevance<\/strong>\n        <span>20 points<\/span>\n    <\/div>\n\n    <div class=\"judging-item\">\n        <strong>Impact, evidence and why it should win<\/strong>\n        <span>35 points<\/span>\n    <\/div>\n\n    <div class=\"judging-item\">\n        <strong>Scalability \/ transferability<\/strong>\n        <span>20 points<\/span>\n    <\/div>\n\n    <div class=\"judging-item\">\n        <strong>Sustainability and lasting value<\/strong>\n        <span>25 points<\/span>\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-8\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-8\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 1 | The initiative and its merit<\/span>\n        <strong>20 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        Describe the industrial initiative, process or product and the environmental need it addresses. State when it started, who is responsible, and what is innovative or beyond routine practice.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-1\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-1_6ab7113b4eff2\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-9\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-9\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 2 | Why this entry should win<\/span>\n        <strong>35 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        Why should this initiative win? Give the strongest measured results against a clear baseline. These may include reductions in water, energy, materials, waste, emissions or pollution; safer operations; circularity; cost savings; jobs; or community benefits.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-2\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-2\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-2_6ab7113b4eff2\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-10\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-10\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 3 | Scalability \/ transferability<\/span>\n        <strong>20 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        How can the solution be expanded to more sites, production lines or value-chain partners, or replicated by other industries? Explain the resources, technology, partnerships and safeguards needed.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-3\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-3\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-3_6ab7113b4eff2\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-11\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-11\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 4 | Sustainability and lasting value<\/span>\n        <strong>25 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        How will performance be maintained over time? Explain governance, budgets, operating procedures, staff skills, maintenance, monitoring, risks, compliance systems and future targets.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-4\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-4\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-4_6ab7113b4eff2\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-12\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-12\"><div class=\"temvelo-section-title\">SUPPORTING EVIDENCE<\/div>\n\n<p class=\"temvelo-section-description\">\nList up to five strong items that verify the results in your answers. Links are preferred; attachments must total no more than 10 MB. Shortlisted entrants may be asked for further verification and a short video.\n<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-1\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-1_6ab7113b4eff2\" id=\"forminator-field-upload-1_6ab7113b4eff2-label\" class=\"forminator-label\">Upload file<\/label><div class=\"forminator-file-upload \" data-element=\"upload-1_6ab7113b4eff2\"><input type=\"file\" name=\"upload-1\" id=\"forminator-field-upload-1_6ab7113b4eff2\" class=\"forminator-input-file\" accept=\".jpg,.jpeg,.jpe,.gif,.png,.bmp,.tiff,.tif,.webp,.avif,.ico,.heic,.heif,.heics,.heifs,.asf,.asx,.wmv,.wmx,.wm,.avi,.divx,.flv,.mov,.qt,.mpeg,.mpg,.mpe,.mp4,.m4v,.ogv,.webm,.mkv,.3gp,.3gpp,.3g2,.3gp2,.txt,.asc,.c,.cc,.h,.srt,.csv,.tsv,.ics,.rtx,.vtt,.mp3,.m4a,.m4b,.aac,.ra,.ram,.wav,.x-wav,.ogg,.oga,.flac,.mid,.midi,.wma,.wax,.mka,.rtf,.pdf,.class,.tar,.zip,.gz,.gzip,.7z,.psd,.xcf,.doc,.pot,.pps,.ppt,.wri,.xla,.xls,.xlt,.xlw,.mdb,.mpp,.docx,.docm,.dotx,.dotm,.xlsx,.xlsm,.xlsb,.xltx,.xltm,.xlam,.pptx,.pptm,.ppsx,.ppsm,.potx,.potm,.ppam,.sldx,.sldm,.onetoc,.onetoc2,.onetmp,.onepkg,.oxps,.xps,.odt,.odp,.ods,.odg,.odc,.odb,.odf,.wp,.wpd,.key,.numbers,.pages\" tabindex=\"-1\"><button id=\"forminator-field-upload-1_6ab7113b4eff2_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-1_6ab7113b4eff2\">Choose File<\/button><span data-empty-text=\"No file chosen\">No file chosen<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Delete uploaded file<\/span><\/button><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-11\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-11_6ab7113b4eff2\" id=\"forminator-field-text-11_6ab7113b4eff2-label\" class=\"forminator-label\">Evidence \/ link 1 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-11\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-11_6ab7113b4eff2\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-12\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-12_6ab7113b4eff2\" id=\"forminator-field-text-12_6ab7113b4eff2-label\" class=\"forminator-label\">Evidence \/ link 2 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-12\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-12_6ab7113b4eff2\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-13\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-13_6ab7113b4eff2\" id=\"forminator-field-text-13_6ab7113b4eff2-label\" class=\"forminator-label\">Evidence \/ link 3 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-13\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-13_6ab7113b4eff2\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-14\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-14_6ab7113b4eff2\" id=\"forminator-field-text-14_6ab7113b4eff2-label\" class=\"forminator-label\">Evidence \/ link 4<\/label><input type=\"text\" name=\"text-14\" value=\"Optional\" placeholder=\"\" id=\"forminator-field-text-14_6ab7113b4eff2\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-15\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-15_6ab7113b4eff2\" id=\"forminator-field-text-15_6ab7113b4eff2-label\" class=\"forminator-label\">Evidence \/ link 5<\/label><input type=\"text\" name=\"text-15\" value=\"Optional\" placeholder=\"\" id=\"forminator-field-text-15_6ab7113b4eff2\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-16\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-16_6ab7113b4eff2\" id=\"forminator-field-text-16_6ab7113b4eff2-label\" class=\"forminator-label\">Access code or attachment names<\/label><input type=\"text\" name=\"text-16\" value=\"If applicable\" placeholder=\"\" id=\"forminator-field-text-16_6ab7113b4eff2\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-13\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-13\"><div class=\"temvelo-section-title\">DECLARATION AND CONSENT<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-2\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-2-6ab7113b4eff2-label\"><label id=\"forminator-field-checkbox-2-1-6ab7113b4eff2-label\" for=\"forminator-field-checkbox-2-1-6ab7113b4eff2\" class=\"forminator-checkbox\" title=\"I confirm that the information in this form is accurate and may be verified by the judging panel.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"I confirm that the information in this form is accurate and may be verified by the judging panel.\" id=\"forminator-field-checkbox-2-1-6ab7113b4eff2\" aria-labelledby=\"forminator-field-checkbox-2-1-6ab7113b4eff2-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I confirm that the information in this form is accurate and may be verified by the judging panel.<\/span><\/label><label id=\"forminator-field-checkbox-2-2-6ab7113b4eff2-label\" for=\"forminator-field-checkbox-2-2-6ab7113b4eff2\" class=\"forminator-checkbox\" title=\"I have authority to submit this application or nomination and the supporting material.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"I have authority to submit this application or nomination and the supporting material.\" id=\"forminator-field-checkbox-2-2-6ab7113b4eff2\" aria-labelledby=\"forminator-field-checkbox-2-2-6ab7113b4eff2-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I have authority to submit this application or nomination and the supporting material.<\/span><\/label><label id=\"forminator-field-checkbox-2-3-6ab7113b4eff2-label\" for=\"forminator-field-checkbox-2-3-6ab7113b4eff2\" class=\"forminator-checkbox\" title=\"I understand that shortlisted or winning entries may be publicised, subject to any confidentiality clearly identified in the submission.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"I understand that shortlisted or winning entries may be publicised, subject to any confidentiality clearly identified in the submission.\" id=\"forminator-field-checkbox-2-3-6ab7113b4eff2\" aria-labelledby=\"forminator-field-checkbox-2-3-6ab7113b4eff2-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I understand that shortlisted or winning entries may be publicised, subject to any confidentiality clearly identified in the submission.<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-17\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-17_6ab7113b4eff2\" id=\"forminator-field-text-17_6ab7113b4eff2-label\" class=\"forminator-label\">Name<\/label><input type=\"text\" name=\"text-17\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-17_6ab7113b4eff2\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-18\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-18_6ab7113b4eff2\" id=\"forminator-field-text-18_6ab7113b4eff2-label\" class=\"forminator-label\">Capacity<\/label><input type=\"text\" name=\"text-18\" value=\"Nominee \/ nominator \/ authorised representative\" placeholder=\"\" id=\"forminator-field-text-18_6ab7113b4eff2\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-20\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-20_6ab7113b4eff2\" id=\"forminator-field-text-20_6ab7113b4eff2-label\" class=\"forminator-label\">Signature<\/label><input type=\"text\" name=\"text-20\" value=\"Sign or type full name\" placeholder=\"\" id=\"forminator-field-text-20_6ab7113b4eff2\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-19\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-19_6ab7113b4eff2\" id=\"forminator-field-text-19_6ab7113b4eff2-label\" class=\"forminator-label\">Date<\/label><input type=\"text\" name=\"text-19\" value=\"DD\/MM\/YYYY\" placeholder=\"\" id=\"forminator-field-text-19_6ab7113b4eff2\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Submit<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"3846139831\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F223\" \/><input type=\"hidden\" name=\"form_id\" value=\"2252\"><input type=\"hidden\" name=\"page_id\" value=\"223\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/temvelo.co.za\/?page_id=223\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center alignfull has-nv-site-bg-color has-text-color has-background has-link-color wp-elements-9\" style=\"background-color:#1b9f00\">Individual Awards Application Form<\/h2>\n\n\n<p><div class=\"forminator-ui forminator-custom-form forminator-custom-form-2250 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-2250\" data-uid=\"6ab7113b53d2c\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-2250\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-2250 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"2250\"\n\t\t\t\tenctype=\"multipart\/form-data\" data-color-option=\"theme\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"6ab7113b53d2c\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"html-1\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-1\"><div class=\"temvelo-header\">\n<h1>TEMVELO AWARDS 2026<\/h1>\n<h2>Application \/ Nomination Form | Individual Awards<\/h2>\n<div class=\"temvelo-scoreline\">4 SCORED QUESTIONS | 100 POINTS | EVIDENCE-LED<\/div>\n<p>Tell one clear story. Use numbers where available and provide only evidence that supports your claims.<\/p>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-2\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-2\"><div class=\"temvelo-section-title\">1. SELECT ONE AWARD CATEGORY<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-1\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-1-6ab7113b53d2c-label\"><span id=\"forminator-radiogroup-radio-1-6ab7113b53d2c-label\" class=\"forminator-label\">Award Category <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-6ab7113b53d2c\" class=\"forminator-radio\" title=\"Women Champion of the Environment\"><input type=\"radio\" name=\"radio-1\" value=\"Women Champion of the Environment\" id=\"forminator-field-radio-1-1-6ab7113b53d2c\" aria-labelledby=\"forminator-field-radio-1-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Women Champion of the Environment<\/span><\/label><label id=\"forminator-field-radio-1-label-2\" for=\"forminator-field-radio-1-2-6ab7113b53d2c\" class=\"forminator-radio\" title=\"Environmental Champion - Person with Disability\"><input type=\"radio\" name=\"radio-1\" value=\"Environmental Champion - Person with Disability\" id=\"forminator-field-radio-1-2-6ab7113b53d2c\" aria-labelledby=\"forminator-field-radio-1-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Environmental Champion &#8211; Person with Disability<\/span><\/label><label id=\"forminator-field-radio-1-label-3\" for=\"forminator-field-radio-1-3-6ab7113b53d2c\" class=\"forminator-radio\" title=\"Wildlife Havens Award\"><input type=\"radio\" name=\"radio-1\" value=\"Wildlife Havens Award\" id=\"forminator-field-radio-1-3-6ab7113b53d2c\" aria-labelledby=\"forminator-field-radio-1-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Wildlife Havens Award<\/span><\/label><label id=\"forminator-field-radio-1-label-4\" for=\"forminator-field-radio-1-4-6ab7113b53d2c\" class=\"forminator-radio\" title=\"Environmental Hero of the Year\"><input type=\"radio\" name=\"radio-1\" value=\"Environmental Hero of the Year\" id=\"forminator-field-radio-1-4-6ab7113b53d2c\" aria-labelledby=\"forminator-field-radio-1-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Environmental Hero of the Year<\/span><\/label><label id=\"forminator-field-radio-1-label-5\" for=\"forminator-field-radio-1-5-6ab7113b53d2c\" class=\"forminator-radio\" title=\"Young Eco-Hero Award\"><input type=\"radio\" name=\"radio-1\" value=\"Young Eco-Hero Award\" id=\"forminator-field-radio-1-5-6ab7113b53d2c\" aria-labelledby=\"forminator-field-radio-1-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Young Eco-Hero Award<\/span><\/label><label id=\"forminator-field-radio-1-label-6\" for=\"forminator-field-radio-1-6-6ab7113b53d2c\" class=\"forminator-radio\" title=\"Unsung Hero of the Year\"><input type=\"radio\" name=\"radio-1\" value=\"Unsung Hero of the Year\" id=\"forminator-field-radio-1-6-6ab7113b53d2c\" aria-labelledby=\"forminator-field-radio-1-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Unsung Hero of the Year<\/span><\/label><label id=\"forminator-field-radio-1-label-7\" for=\"forminator-field-radio-1-7-6ab7113b53d2c\" class=\"forminator-radio\" title=\"Climate Change Champion of the Year\"><input type=\"radio\" name=\"radio-1\" value=\"Climate Change Champion of the Year\" id=\"forminator-field-radio-1-7-6ab7113b53d2c\" aria-labelledby=\"forminator-field-radio-1-label-7\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Climate Change Champion of the Year<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-3\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-3\"><p class=\"temvelo-note\">Place an X in one box.<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-4\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-4\"><div class=\"temvelo-section-title\">2. ENTRY DETAILS<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-6 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-6ab7113b53d2c-label\"><span id=\"forminator-radiogroup-radio-2-6ab7113b53d2c-label\" class=\"forminator-label\">Entry type <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-6ab7113b53d2c\" class=\"forminator-radio forminator-radio-inline\" title=\"Self-application\"><input type=\"radio\" name=\"radio-2\" value=\"Self-application\" id=\"forminator-field-radio-2-1-6ab7113b53d2c\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Self-application<\/span><\/label><label id=\"forminator-field-radio-2-label-2\" for=\"forminator-field-radio-2-2-6ab7113b53d2c\" class=\"forminator-radio forminator-radio-inline\" title=\"Third-party nomination\"><input type=\"radio\" name=\"radio-2\" value=\"Third-party nomination\" id=\"forminator-field-radio-2-2-6ab7113b53d2c\" aria-labelledby=\"forminator-field-radio-2-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Third-party nomination<\/span><\/label><\/div><\/div><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_6ab7113b53d2c\" id=\"forminator-field-text-3_6ab7113b53d2c-label\" class=\"forminator-label\">Nominee \/ organisation <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-3\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-3_6ab7113b53d2c\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_6ab7113b53d2c\" id=\"forminator-field-text-2_6ab7113b53d2c-label\" class=\"forminator-label\">Contact person and position <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-2\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-2_6ab7113b53d2c\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_6ab7113b53d2c\" id=\"forminator-field-text-4_6ab7113b53d2c-label\" class=\"forminator-label\">Telephone<\/label><input type=\"text\" name=\"text-4\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-4_6ab7113b53d2c\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-6\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-6_6ab7113b53d2c\" id=\"forminator-field-text-6_6ab7113b53d2c-label\" class=\"forminator-label\">Email<\/label><input type=\"text\" name=\"text-6\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-6_6ab7113b53d2c\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_6ab7113b53d2c\" id=\"forminator-field-text-5_6ab7113b53d2c-label\" class=\"forminator-label\">Region and town \/ locality<\/label><input type=\"text\" name=\"text-5\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-5_6ab7113b53d2c\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-10\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-10_6ab7113b53d2c\" id=\"forminator-field-text-10_6ab7113b53d2c-label\" class=\"forminator-label\">Initiative \/ achievement title<\/label><input type=\"text\" name=\"text-10\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-10_6ab7113b53d2c\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-9\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-9_6ab7113b53d2c\" id=\"forminator-field-text-9_6ab7113b53d2c-label\" class=\"forminator-label\">Start date and status<\/label><input type=\"text\" name=\"text-9\" value=\"Month\/year; ongoing or completed\" placeholder=\"\" id=\"forminator-field-text-9_6ab7113b53d2c\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-8\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-8_6ab7113b53d2c\" id=\"forminator-field-text-8_6ab7113b53d2c-label\" class=\"forminator-label\">Age (only if applying for Young Eco-Hero)<\/label><input type=\"text\" name=\"text-8\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-8_6ab7113b53d2c\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-7\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-7_6ab7113b53d2c\" id=\"forminator-field-text-7_6ab7113b53d2c-label\" class=\"forminator-label\">Nominator name, relationship and contact<\/label><input type=\"text\" name=\"text-7\" value=\"Only for third-party nominations\" placeholder=\"\" id=\"forminator-field-text-7_6ab7113b53d2c\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-5\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-5\"><div class=\"temvelo-section-title\">3. ELIGIBILITY CHECK<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-6ab7113b53d2c-label\"><label id=\"forminator-field-checkbox-1-1-6ab7113b53d2c-label\" for=\"forminator-field-checkbox-1-1-6ab7113b53d2c\" class=\"forminator-checkbox\" title=\"The work was carried out in, or directly benefits, South Africa.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"The work was carried out in, or directly benefits, South Africa.\" id=\"forminator-field-checkbox-1-1-6ab7113b53d2c\" aria-labelledby=\"forminator-field-checkbox-1-1-6ab7113b53d2c-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">The work was carried out in, or directly benefits, South Africa.<\/span><\/label><label id=\"forminator-field-checkbox-1-2-6ab7113b53d2c-label\" for=\"forminator-field-checkbox-1-2-6ab7113b53d2c\" class=\"forminator-checkbox\" title=\"The initiative was active or produced results during 2023-2026.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"The initiative was active or produced results during 2023-2026.\" id=\"forminator-field-checkbox-1-2-6ab7113b53d2c\" aria-labelledby=\"forminator-field-checkbox-1-2-6ab7113b53d2c-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">The initiative was active or produced results during 2023-2026.<\/span><\/label><label id=\"forminator-field-checkbox-1-3-6ab7113b53d2c-label\" for=\"forminator-field-checkbox-1-3-6ab7113b53d2c\" class=\"forminator-checkbox\" title=\"The nominee or organisation permits this entry and the information can be verified.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"The nominee or organisation permits this entry and the information can be verified.\" id=\"forminator-field-checkbox-1-3-6ab7113b53d2c\" aria-labelledby=\"forminator-field-checkbox-1-3-6ab7113b53d2c-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">The nominee or organisation permits this entry and the information can be verified.<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-7\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-7\"><div class=\"temvelo-section-title\">4. HOW THE ENTRY WILL BE JUDGED<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-6\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-6\"><div class=\"judging-grid\">\n    <div class=\"judging-item\">\n        <strong>Project merit and relevance<\/strong>\n        <span>20 points<\/span>\n    <\/div>\n\n    <div class=\"judging-item\">\n        <strong>Impact, evidence and why it should win<\/strong>\n        <span>35 points<\/span>\n    <\/div>\n\n    <div class=\"judging-item\">\n        <strong>Scalability \/ transferability<\/strong>\n        <span>20 points<\/span>\n    <\/div>\n\n    <div class=\"judging-item\">\n        <strong>Sustainability and lasting value<\/strong>\n        <span>25 points<\/span>\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-8\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-8\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 1 | The initiative and its merit<\/span>\n        <strong>20 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        Describe the nominee&#8217;s environmental work and the need that inspired it. State where and when the work began, what the nominee personally did, who was involved, and what makes the approach distinctive.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-1\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-1_6ab7113b53d2c\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-9\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-9\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 2 | Why this entry should win<\/span>\n        <strong>35 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        Why should this person win? Give the strongest measured results, verified examples and evidence of leadership. Include environmental benefits and, where relevant, people reached, behaviour changed, livelihoods, inclusion or community benefits.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-2\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-2\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-2_6ab7113b53d2c\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-10\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-10\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 3 | Scalability \/ transferability<\/span>\n        <strong>20 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        How has the nominee enabled the work to reach more people or places, or helped others copy the approach? Explain the networks, training, partnerships or resources that could increase its reach.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-3\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-3\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-3_6ab7113b53d2c\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-11\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-11\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 4 | Sustainability and lasting value<\/span>\n        <strong>25 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        How will the work and its benefits continue? Explain the nominee&#8217;s next steps, succession or community ownership, resources, monitoring, risks and future goals.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-4\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-4\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-4_6ab7113b53d2c\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-12\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-12\"><div class=\"temvelo-section-title\">SUPPORTING EVIDENCE<\/div>\n\n<p class=\"temvelo-section-description\">\nList up to five strong items that verify the results in your answers. Links are preferred; attachments must total no more than 10 MB. Shortlisted entrants may be asked for further verification and a short video.\n<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-1\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-1_6ab7113b53d2c\" id=\"forminator-field-upload-1_6ab7113b53d2c-label\" class=\"forminator-label\">Upload file<\/label><div class=\"forminator-file-upload \" data-element=\"upload-1_6ab7113b53d2c\"><input type=\"file\" name=\"upload-1\" id=\"forminator-field-upload-1_6ab7113b53d2c\" class=\"forminator-input-file\" accept=\".jpg,.jpeg,.jpe,.gif,.png,.bmp,.tiff,.tif,.webp,.avif,.ico,.heic,.heif,.heics,.heifs,.asf,.asx,.wmv,.wmx,.wm,.avi,.divx,.flv,.mov,.qt,.mpeg,.mpg,.mpe,.mp4,.m4v,.ogv,.webm,.mkv,.3gp,.3gpp,.3g2,.3gp2,.txt,.asc,.c,.cc,.h,.srt,.csv,.tsv,.ics,.rtx,.vtt,.mp3,.m4a,.m4b,.aac,.ra,.ram,.wav,.x-wav,.ogg,.oga,.flac,.mid,.midi,.wma,.wax,.mka,.rtf,.pdf,.class,.tar,.zip,.gz,.gzip,.7z,.psd,.xcf,.doc,.pot,.pps,.ppt,.wri,.xla,.xls,.xlt,.xlw,.mdb,.mpp,.docx,.docm,.dotx,.dotm,.xlsx,.xlsm,.xlsb,.xltx,.xltm,.xlam,.pptx,.pptm,.ppsx,.ppsm,.potx,.potm,.ppam,.sldx,.sldm,.onetoc,.onetoc2,.onetmp,.onepkg,.oxps,.xps,.odt,.odp,.ods,.odg,.odc,.odb,.odf,.wp,.wpd,.key,.numbers,.pages\" tabindex=\"-1\"><button id=\"forminator-field-upload-1_6ab7113b53d2c_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-1_6ab7113b53d2c\">Choose File<\/button><span data-empty-text=\"No file chosen\">No file chosen<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Delete uploaded file<\/span><\/button><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-11\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-11_6ab7113b53d2c\" id=\"forminator-field-text-11_6ab7113b53d2c-label\" class=\"forminator-label\">Evidence \/ link 1 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-11\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-11_6ab7113b53d2c\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-12\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-12_6ab7113b53d2c\" id=\"forminator-field-text-12_6ab7113b53d2c-label\" class=\"forminator-label\">Evidence \/ link 2 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-12\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-12_6ab7113b53d2c\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-13\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-13_6ab7113b53d2c\" id=\"forminator-field-text-13_6ab7113b53d2c-label\" class=\"forminator-label\">Evidence \/ link 3 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-13\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-13_6ab7113b53d2c\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-14\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-14_6ab7113b53d2c\" id=\"forminator-field-text-14_6ab7113b53d2c-label\" class=\"forminator-label\">Evidence \/ link 4<\/label><input type=\"text\" name=\"text-14\" value=\"Optional\" placeholder=\"\" id=\"forminator-field-text-14_6ab7113b53d2c\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-15\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-15_6ab7113b53d2c\" id=\"forminator-field-text-15_6ab7113b53d2c-label\" class=\"forminator-label\">Evidence \/ link 5<\/label><input type=\"text\" name=\"text-15\" value=\"Optional\" placeholder=\"\" id=\"forminator-field-text-15_6ab7113b53d2c\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-16\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-16_6ab7113b53d2c\" id=\"forminator-field-text-16_6ab7113b53d2c-label\" class=\"forminator-label\">Access code or attachment names<\/label><input type=\"text\" name=\"text-16\" value=\"If applicable\" placeholder=\"\" id=\"forminator-field-text-16_6ab7113b53d2c\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-13\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-13\"><div class=\"temvelo-section-title\">DECLARATION AND CONSENT<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-2\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-2-6ab7113b53d2c-label\"><label id=\"forminator-field-checkbox-2-1-6ab7113b53d2c-label\" for=\"forminator-field-checkbox-2-1-6ab7113b53d2c\" class=\"forminator-checkbox\" title=\"I confirm that the information in this form is accurate and may be verified by the judging panel.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"I confirm that the information in this form is accurate and may be verified by the judging panel.\" id=\"forminator-field-checkbox-2-1-6ab7113b53d2c\" aria-labelledby=\"forminator-field-checkbox-2-1-6ab7113b53d2c-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I confirm that the information in this form is accurate and may be verified by the judging panel.<\/span><\/label><label id=\"forminator-field-checkbox-2-2-6ab7113b53d2c-label\" for=\"forminator-field-checkbox-2-2-6ab7113b53d2c\" class=\"forminator-checkbox\" title=\"I have authority to submit this application or nomination and the supporting material.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"I have authority to submit this application or nomination and the supporting material.\" id=\"forminator-field-checkbox-2-2-6ab7113b53d2c\" aria-labelledby=\"forminator-field-checkbox-2-2-6ab7113b53d2c-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I have authority to submit this application or nomination and the supporting material.<\/span><\/label><label id=\"forminator-field-checkbox-2-3-6ab7113b53d2c-label\" for=\"forminator-field-checkbox-2-3-6ab7113b53d2c\" class=\"forminator-checkbox\" title=\"I understand that shortlisted or winning entries may be publicised, subject to any confidentiality clearly identified in the submission.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"I understand that shortlisted or winning entries may be publicised, subject to any confidentiality clearly identified in the submission.\" id=\"forminator-field-checkbox-2-3-6ab7113b53d2c\" aria-labelledby=\"forminator-field-checkbox-2-3-6ab7113b53d2c-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I understand that shortlisted or winning entries may be publicised, subject to any confidentiality clearly identified in the submission.<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-17\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-17_6ab7113b53d2c\" id=\"forminator-field-text-17_6ab7113b53d2c-label\" class=\"forminator-label\">Name<\/label><input type=\"text\" name=\"text-17\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-17_6ab7113b53d2c\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-18\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-18_6ab7113b53d2c\" id=\"forminator-field-text-18_6ab7113b53d2c-label\" class=\"forminator-label\">Capacity<\/label><input type=\"text\" name=\"text-18\" value=\"Nominee \/ nominator \/ authorised representative\" placeholder=\"\" id=\"forminator-field-text-18_6ab7113b53d2c\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-20\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-20_6ab7113b53d2c\" id=\"forminator-field-text-20_6ab7113b53d2c-label\" class=\"forminator-label\">Signature<\/label><input type=\"text\" name=\"text-20\" value=\"Sign or type full name\" placeholder=\"\" id=\"forminator-field-text-20_6ab7113b53d2c\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-19\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-19_6ab7113b53d2c\" id=\"forminator-field-text-19_6ab7113b53d2c-label\" class=\"forminator-label\">Date<\/label><input type=\"text\" name=\"text-19\" value=\"DD\/MM\/YYYY\" placeholder=\"\" id=\"forminator-field-text-19_6ab7113b53d2c\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Submit<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"9ea36b5bd2\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F223\" \/><input type=\"hidden\" name=\"form_id\" value=\"2250\"><input type=\"hidden\" name=\"page_id\" value=\"223\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/temvelo.co.za\/?page_id=223\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center alignfull has-nv-site-bg-color has-text-color has-background has-link-color wp-elements-10\" style=\"background-color:#1b9f00\">Life Achievement Award Application Form<\/h2>\n\n\n<p><div class=\"forminator-ui forminator-custom-form forminator-custom-form-2255 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-2255\" data-uid=\"6ab7113b589c8\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-2255\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-2255 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"2255\"\n\t\t\t\tenctype=\"multipart\/form-data\" data-color-option=\"theme\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"6ab7113b589c8\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"html-1\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-1\"><div class=\"temvelo-header\">\n<h1>TEMVELO AWARDS 2026<\/h1>\n<h2>Application \/ Nomination Form | Lifetime Achievement Award<\/h2>\n<div class=\"temvelo-scoreline\">4 SCORED QUESTIONS | 100 POINTS | EVIDENCE-LED<\/div>\n<p>Tell one clear story. Use numbers where available and provide only evidence that supports your claims.<\/p>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-2\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-2\"><div class=\"temvelo-section-title\">1. SELECT ONE AWARD CATEGORY<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-1\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-1-6ab7113b589c8-label\"><span id=\"forminator-radiogroup-radio-1-6ab7113b589c8-label\" class=\"forminator-label\">Award Category <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-6ab7113b589c8\" class=\"forminator-radio\" title=\"Lifetime Achievement Award\"><input type=\"radio\" name=\"radio-1\" value=\"Lifetime Achievement Award\" id=\"forminator-field-radio-1-1-6ab7113b589c8\" aria-labelledby=\"forminator-field-radio-1-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Lifetime Achievement Award<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-3\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-3\"><p class=\"temvelo-note\">Place an X in one box.<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-4\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-4\"><div class=\"temvelo-section-title\">2. ENTRY DETAILS<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-6 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-6ab7113b589c8-label\"><span id=\"forminator-radiogroup-radio-2-6ab7113b589c8-label\" class=\"forminator-label\">Entry type <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-6ab7113b589c8\" class=\"forminator-radio forminator-radio-inline\" title=\"Self-application\"><input type=\"radio\" name=\"radio-2\" value=\"Self-application\" id=\"forminator-field-radio-2-1-6ab7113b589c8\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Self-application<\/span><\/label><label id=\"forminator-field-radio-2-label-2\" for=\"forminator-field-radio-2-2-6ab7113b589c8\" class=\"forminator-radio forminator-radio-inline\" title=\"Third-party nomination\"><input type=\"radio\" name=\"radio-2\" value=\"Third-party nomination\" id=\"forminator-field-radio-2-2-6ab7113b589c8\" aria-labelledby=\"forminator-field-radio-2-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Third-party nomination<\/span><\/label><\/div><\/div><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_6ab7113b589c8\" id=\"forminator-field-text-3_6ab7113b589c8-label\" class=\"forminator-label\">Nominee \/ organisation <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-3\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-3_6ab7113b589c8\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_6ab7113b589c8\" id=\"forminator-field-text-2_6ab7113b589c8-label\" class=\"forminator-label\">Contact person and position <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-2\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-2_6ab7113b589c8\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_6ab7113b589c8\" id=\"forminator-field-text-4_6ab7113b589c8-label\" class=\"forminator-label\">Telephone<\/label><input type=\"text\" name=\"text-4\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-4_6ab7113b589c8\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-6\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-6_6ab7113b589c8\" id=\"forminator-field-text-6_6ab7113b589c8-label\" class=\"forminator-label\">Email<\/label><input type=\"text\" name=\"text-6\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-6_6ab7113b589c8\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_6ab7113b589c8\" id=\"forminator-field-text-5_6ab7113b589c8-label\" class=\"forminator-label\">Region and town \/ locality<\/label><input type=\"text\" name=\"text-5\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-5_6ab7113b589c8\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-10\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-10_6ab7113b589c8\" id=\"forminator-field-text-10_6ab7113b589c8-label\" class=\"forminator-label\">Main field of contribution<\/label><input type=\"text\" name=\"text-10\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-10_6ab7113b589c8\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-9\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-9_6ab7113b589c8\" id=\"forminator-field-text-9_6ab7113b589c8-label\" class=\"forminator-label\">Years of environmental contribution<\/label><input type=\"text\" name=\"text-9\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-9_6ab7113b589c8\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-8\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-8_6ab7113b589c8\" id=\"forminator-field-text-8_6ab7113b589c8-label\" class=\"forminator-label\">Organisation \/ affiliation<\/label><input type=\"text\" name=\"text-8\" value=\"Current or former\" placeholder=\"\" id=\"forminator-field-text-8_6ab7113b589c8\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-7\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-7_6ab7113b589c8\" id=\"forminator-field-text-7_6ab7113b589c8-label\" class=\"forminator-label\">Nominator name, relationship and contact<\/label><input type=\"text\" name=\"text-7\" value=\"Only for third-party nominations\" placeholder=\"\" id=\"forminator-field-text-7_6ab7113b589c8\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-5\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-5\"><div class=\"temvelo-section-title\">3. ELIGIBILITY CHECK<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-6ab7113b589c8-label\"><label id=\"forminator-field-checkbox-1-1-6ab7113b589c8-label\" for=\"forminator-field-checkbox-1-1-6ab7113b589c8\" class=\"forminator-checkbox\" title=\"The nominee has made a significant long-term contribution to environmental protection or climate action in South Africa.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"The nominee has made a significant long-term contribution to environmental protection or climate action in South Africa.\" id=\"forminator-field-checkbox-1-1-6ab7113b589c8\" aria-labelledby=\"forminator-field-checkbox-1-1-6ab7113b589c8-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">The nominee has made a significant long-term contribution to environmental protection or climate action in South Africa.<\/span><\/label><label id=\"forminator-field-checkbox-1-2-6ab7113b589c8-label\" for=\"forminator-field-checkbox-1-2-6ab7113b589c8\" class=\"forminator-checkbox\" title=\"The contribution and results described can be verified.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"The contribution and results described can be verified.\" id=\"forminator-field-checkbox-1-2-6ab7113b589c8\" aria-labelledby=\"forminator-field-checkbox-1-2-6ab7113b589c8-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">The contribution and results described can be verified.<\/span><\/label><label id=\"forminator-field-checkbox-1-3-6ab7113b589c8-label\" for=\"forminator-field-checkbox-1-3-6ab7113b589c8\" class=\"forminator-checkbox\" title=\"The nominee, or an authorised representative, permits this nomination.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"The nominee, or an authorised representative, permits this nomination.\" id=\"forminator-field-checkbox-1-3-6ab7113b589c8\" aria-labelledby=\"forminator-field-checkbox-1-3-6ab7113b589c8-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">The nominee, or an authorised representative, permits this nomination.<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-7\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-7\"><div class=\"temvelo-section-title\">4. HOW THE ENTRY WILL BE JUDGED<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-6\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-6\"><div class=\"judging-grid\">\n    <div class=\"judging-item\">\n        <strong>Project merit and relevance<\/strong>\n        <span>20 points<\/span>\n    <\/div>\n\n    <div class=\"judging-item\">\n        <strong>Impact, evidence and why it should win<\/strong>\n        <span>35 points<\/span>\n    <\/div>\n\n    <div class=\"judging-item\">\n        <strong>Scalability \/ transferability<\/strong>\n        <span>20 points<\/span>\n    <\/div>\n\n    <div class=\"judging-item\">\n        <strong>Sustainability and lasting value<\/strong>\n        <span>25 points<\/span>\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-8\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-8\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 1 | The initiative and its merit<\/span>\n        <strong>20 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        Summarise the nominee&#8217;s long-term contribution to environmental protection or climate action in Eswatini. Give the period covered, principal roles, areas of work, communities or institutions served, and any pioneering contribution.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-1\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-1_6ab7113b589c8\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-9\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-9\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 2 | Why this entry should win<\/span>\n        <strong>35 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        Why should this nominee receive the Lifetime Achievement Award? Give the strongest verified examples of lasting environmental impact, leadership, public influence, institutions or programmes built, people mentored, and major challenges overcome.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-2\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-2\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-2_6ab7113b589c8\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-10\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-10\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 3 | Scalability \/ transferability<\/span>\n        <strong>20 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        How widely has the nominee&#8217;s work been adopted, transferred or used to influence other people, organisations, sectors or places? Explain how the nominee has built capacity or enabled others to continue or expand the work.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-3\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-3\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-3_6ab7113b589c8\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-11\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-11\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 4 | Sustainability and lasting value<\/span>\n        <strong>25 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        Why will the nominee&#8217;s contribution endure? Explain the legacy, systems, knowledge, partnerships, successors or resources that will sustain the benefits, and any important unfinished work.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-4\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-4\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-4_6ab7113b589c8\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-12\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-12\"><div class=\"temvelo-section-title\">SUPPORTING EVIDENCE<\/div>\n\n<p class=\"temvelo-section-description\">\nAttach one letter of support from someone other than the nominator. You may also list up to four strong items that verify the nominee&#8217;s contribution. Links are preferred; attachments must total no more than 10 MB.\n<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-1\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-1_6ab7113b589c8\" id=\"forminator-field-upload-1_6ab7113b589c8-label\" class=\"forminator-label\">Letter of support <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-upload-1_6ab7113b589c8-description\" class=\"forminator-description\">From someone other than the nominator.<\/span><div class=\"forminator-file-upload \" data-element=\"upload-1_6ab7113b589c8\" aria-describedby=\"forminator-field-upload-1_6ab7113b589c8-description\"><input type=\"file\" name=\"upload-1\" id=\"forminator-field-upload-1_6ab7113b589c8\" class=\"forminator-input-file-required do-validate\" accept=\".jpg,.jpeg,.jpe,.gif,.png,.bmp,.tiff,.tif,.webp,.avif,.ico,.heic,.heif,.heics,.heifs,.asf,.asx,.wmv,.wmx,.wm,.avi,.divx,.flv,.mov,.qt,.mpeg,.mpg,.mpe,.mp4,.m4v,.ogv,.webm,.mkv,.3gp,.3gpp,.3g2,.3gp2,.txt,.asc,.c,.cc,.h,.srt,.csv,.tsv,.ics,.rtx,.vtt,.mp3,.m4a,.m4b,.aac,.ra,.ram,.wav,.x-wav,.ogg,.oga,.flac,.mid,.midi,.wma,.wax,.mka,.rtf,.pdf,.class,.tar,.zip,.gz,.gzip,.7z,.psd,.xcf,.doc,.pot,.pps,.ppt,.wri,.xla,.xls,.xlt,.xlw,.mdb,.mpp,.docx,.docm,.dotx,.dotm,.xlsx,.xlsm,.xlsb,.xltx,.xltm,.xlam,.pptx,.pptm,.ppsx,.ppsm,.potx,.potm,.ppam,.sldx,.sldm,.onetoc,.onetoc2,.onetmp,.onepkg,.oxps,.xps,.odt,.odp,.ods,.odg,.odc,.odb,.odf,.wp,.wpd,.key,.numbers,.pages\" tabindex=\"-1\"><button id=\"forminator-field-upload-1_6ab7113b589c8_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-1_6ab7113b589c8\">Choose File<\/button><span data-empty-text=\"No file chosen\">No file chosen<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Delete uploaded file<\/span><\/button><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-11\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-11_6ab7113b589c8\" id=\"forminator-field-text-11_6ab7113b589c8-label\" class=\"forminator-label\">Evidence \/ link 1 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-11\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-11_6ab7113b589c8\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-12\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-12_6ab7113b589c8\" id=\"forminator-field-text-12_6ab7113b589c8-label\" class=\"forminator-label\">Evidence \/ link 2 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-12\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-12_6ab7113b589c8\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-13\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-13_6ab7113b589c8\" id=\"forminator-field-text-13_6ab7113b589c8-label\" class=\"forminator-label\">Evidence \/ link 3 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-13\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-13_6ab7113b589c8\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-14\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-14_6ab7113b589c8\" id=\"forminator-field-text-14_6ab7113b589c8-label\" class=\"forminator-label\">Evidence \/ link 4<\/label><input type=\"text\" name=\"text-14\" value=\"Optional\" placeholder=\"\" id=\"forminator-field-text-14_6ab7113b589c8\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-15\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-15_6ab7113b589c8\" id=\"forminator-field-text-15_6ab7113b589c8-label\" class=\"forminator-label\">Evidence \/ link 5<\/label><input type=\"text\" name=\"text-15\" value=\"Optional\" placeholder=\"\" id=\"forminator-field-text-15_6ab7113b589c8\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-16\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-16_6ab7113b589c8\" id=\"forminator-field-text-16_6ab7113b589c8-label\" class=\"forminator-label\">Access code or attachment names<\/label><input type=\"text\" name=\"text-16\" value=\"If applicable\" placeholder=\"\" id=\"forminator-field-text-16_6ab7113b589c8\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-13\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-13\"><div class=\"temvelo-section-title\">DECLARATION AND CONSENT<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-2\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-2-6ab7113b589c8-label\"><label id=\"forminator-field-checkbox-2-1-6ab7113b589c8-label\" for=\"forminator-field-checkbox-2-1-6ab7113b589c8\" class=\"forminator-checkbox\" title=\"I confirm that the information in this form is accurate and may be verified by the judging panel.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"I confirm that the information in this form is accurate and may be verified by the judging panel.\" id=\"forminator-field-checkbox-2-1-6ab7113b589c8\" aria-labelledby=\"forminator-field-checkbox-2-1-6ab7113b589c8-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I confirm that the information in this form is accurate and may be verified by the judging panel.<\/span><\/label><label id=\"forminator-field-checkbox-2-2-6ab7113b589c8-label\" for=\"forminator-field-checkbox-2-2-6ab7113b589c8\" class=\"forminator-checkbox\" title=\"I have authority to submit this application or nomination and the supporting material.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"I have authority to submit this application or nomination and the supporting material.\" id=\"forminator-field-checkbox-2-2-6ab7113b589c8\" aria-labelledby=\"forminator-field-checkbox-2-2-6ab7113b589c8-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I have authority to submit this application or nomination and the supporting material.<\/span><\/label><label id=\"forminator-field-checkbox-2-3-6ab7113b589c8-label\" for=\"forminator-field-checkbox-2-3-6ab7113b589c8\" class=\"forminator-checkbox\" title=\"I understand that shortlisted or winning entries may be publicised, subject to any confidentiality clearly identified in the submission.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"I understand that shortlisted or winning entries may be publicised, subject to any confidentiality clearly identified in the submission.\" id=\"forminator-field-checkbox-2-3-6ab7113b589c8\" aria-labelledby=\"forminator-field-checkbox-2-3-6ab7113b589c8-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I understand that shortlisted or winning entries may be publicised, subject to any confidentiality clearly identified in the submission.<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-17\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-17_6ab7113b589c8\" id=\"forminator-field-text-17_6ab7113b589c8-label\" class=\"forminator-label\">Name<\/label><input type=\"text\" name=\"text-17\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-17_6ab7113b589c8\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-18\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-18_6ab7113b589c8\" id=\"forminator-field-text-18_6ab7113b589c8-label\" class=\"forminator-label\">Capacity<\/label><input type=\"text\" name=\"text-18\" value=\"Nominee \/ nominator \/ authorised representative\" placeholder=\"\" id=\"forminator-field-text-18_6ab7113b589c8\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-20\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-20_6ab7113b589c8\" id=\"forminator-field-text-20_6ab7113b589c8-label\" class=\"forminator-label\">Signature<\/label><input type=\"text\" name=\"text-20\" value=\"Sign or type full name\" placeholder=\"\" id=\"forminator-field-text-20_6ab7113b589c8\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-19\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-19_6ab7113b589c8\" id=\"forminator-field-text-19_6ab7113b589c8-label\" class=\"forminator-label\">Date<\/label><input type=\"text\" name=\"text-19\" value=\"DD\/MM\/YYYY\" placeholder=\"\" id=\"forminator-field-text-19_6ab7113b589c8\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Submit<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"021d424fb1\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F223\" \/><input type=\"hidden\" name=\"form_id\" value=\"2255\"><input type=\"hidden\" name=\"page_id\" value=\"223\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/temvelo.co.za\/?page_id=223\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center alignfull has-nv-site-bg-color has-text-color has-background has-link-color wp-elements-11\" style=\"background-color:#1b9f00\">Media Application Form<\/h2>\n\n\n<p><div class=\"forminator-ui forminator-custom-form forminator-custom-form-2257 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-2257\" data-uid=\"6ab7113b5d72b\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-2257\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-2257 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"2257\"\n\t\t\t\tenctype=\"multipart\/form-data\" data-color-option=\"theme\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"6ab7113b5d72b\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"html-1\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-1\"><div class=\"temvelo-header\">\n<h1>TEMVELO AWARDS 2026<\/h1>\n<h2>Application \/ Nomination Form | Media<\/h2>\n<div class=\"temvelo-scoreline\">4 SCORED QUESTIONS | 100 POINTS | EVIDENCE-LED<\/div>\n<p>Tell one clear story. Use numbers where available and provide only evidence that supports your claims.<\/p>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-2\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-2\"><div class=\"temvelo-section-title\">1. SELECT ONE AWARD CATEGORY<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-1\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-1-6ab7113b5d72b-label\"><span id=\"forminator-radiogroup-radio-1-6ab7113b5d72b-label\" class=\"forminator-label\">Award Category <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-6ab7113b5d72b\" class=\"forminator-radio\" title=\"Environmental Photographer Award\"><input type=\"radio\" name=\"radio-1\" value=\"Environmental Photographer Award\" id=\"forminator-field-radio-1-1-6ab7113b5d72b\" aria-labelledby=\"forminator-field-radio-1-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Environmental Photographer Award<\/span><\/label><label id=\"forminator-field-radio-1-label-2\" for=\"forminator-field-radio-1-2-6ab7113b5d72b\" class=\"forminator-radio\" title=\"Environmental Journalist - Social Media Award\"><input type=\"radio\" name=\"radio-1\" value=\"Environmental Journalist - Social Media Award\" id=\"forminator-field-radio-1-2-6ab7113b5d72b\" aria-labelledby=\"forminator-field-radio-1-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Environmental Journalist &#8211; Social Media Award<\/span><\/label><label id=\"forminator-field-radio-1-label-3\" for=\"forminator-field-radio-1-3-6ab7113b5d72b\" class=\"forminator-radio\" title=\"Environmental Videographer Award\"><input type=\"radio\" name=\"radio-1\" value=\"Environmental Videographer Award\" id=\"forminator-field-radio-1-3-6ab7113b5d72b\" aria-labelledby=\"forminator-field-radio-1-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Environmental Videographer Award<\/span><\/label><label id=\"forminator-field-radio-1-label-4\" for=\"forminator-field-radio-1-4-6ab7113b5d72b\" class=\"forminator-radio\" title=\"Green Journalist - Electronic Media\"><input type=\"radio\" name=\"radio-1\" value=\"Green Journalist - Electronic Media\" id=\"forminator-field-radio-1-4-6ab7113b5d72b\" aria-labelledby=\"forminator-field-radio-1-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Green Journalist &#8211; Electronic Media<\/span><\/label><label id=\"forminator-field-radio-1-label-5\" for=\"forminator-field-radio-1-5-6ab7113b5d72b\" class=\"forminator-radio\" title=\"Green Journalist - Print Media\"><input type=\"radio\" name=\"radio-1\" value=\"Green Journalist - Print Media\" id=\"forminator-field-radio-1-5-6ab7113b5d72b\" aria-labelledby=\"forminator-field-radio-1-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Green Journalist &#8211; Print Media<\/span><\/label><label id=\"forminator-field-radio-1-label-6\" for=\"forminator-field-radio-1-6-6ab7113b5d72b\" class=\"forminator-radio\" title=\"Environmental Media House (Print) - Local Print Media\"><input type=\"radio\" name=\"radio-1\" value=\"Environmental Media House (Print) - Local Print Media\" id=\"forminator-field-radio-1-6-6ab7113b5d72b\" aria-labelledby=\"forminator-field-radio-1-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Environmental Media House (Print) &#8211; Local Print Media<\/span><\/label><label id=\"forminator-field-radio-1-label-7\" for=\"forminator-field-radio-1-7-6ab7113b5d72b\" class=\"forminator-radio\" title=\"Environmental Media House (Print) - National Print Media\"><input type=\"radio\" name=\"radio-1\" value=\"Environmental Media House (Print) - National Print Media\" id=\"forminator-field-radio-1-7-6ab7113b5d72b\" aria-labelledby=\"forminator-field-radio-1-label-7\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Environmental Media House (Print) &#8211; National Print Media<\/span><\/label><label id=\"forminator-field-radio-1-label-8\" for=\"forminator-field-radio-1-8-6ab7113b5d72b\" class=\"forminator-radio\" title=\"Environmental Media House (Electronic) - Community Radio\"><input type=\"radio\" name=\"radio-1\" value=\"Environmental Media House (Electronic) - Community Radio\" id=\"forminator-field-radio-1-8-6ab7113b5d72b\" aria-labelledby=\"forminator-field-radio-1-label-8\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Environmental Media House (Electronic) &#8211; Community Radio<\/span><\/label><label id=\"forminator-field-radio-1-label-9\" for=\"forminator-field-radio-1-9-6ab7113b5d72b\" class=\"forminator-radio\" title=\"Environmental Media House (Electronic) - National Radio\"><input type=\"radio\" name=\"radio-1\" value=\"Environmental Media House (Electronic) - National Radio\" id=\"forminator-field-radio-1-9-6ab7113b5d72b\" aria-labelledby=\"forminator-field-radio-1-label-9\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Environmental Media House (Electronic) &#8211; National Radio<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-3\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-3\"><p class=\"temvelo-note\">Place an X in one box.<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-4\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-4\"><div class=\"temvelo-section-title\">2. ENTRY DETAILS<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-6 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-6ab7113b5d72b-label\"><span id=\"forminator-radiogroup-radio-2-6ab7113b5d72b-label\" class=\"forminator-label\">Entry type <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-6ab7113b5d72b\" class=\"forminator-radio forminator-radio-inline\" title=\"Self-application\"><input type=\"radio\" name=\"radio-2\" value=\"Self-application\" id=\"forminator-field-radio-2-1-6ab7113b5d72b\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Self-application<\/span><\/label><label id=\"forminator-field-radio-2-label-2\" for=\"forminator-field-radio-2-2-6ab7113b5d72b\" class=\"forminator-radio forminator-radio-inline\" title=\"Third-party nomination\"><input type=\"radio\" name=\"radio-2\" value=\"Third-party nomination\" id=\"forminator-field-radio-2-2-6ab7113b5d72b\" aria-labelledby=\"forminator-field-radio-2-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Third-party nomination<\/span><\/label><\/div><\/div><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_6ab7113b5d72b\" id=\"forminator-field-text-3_6ab7113b5d72b-label\" class=\"forminator-label\">Nominee \/ organisation <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-3\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-3_6ab7113b5d72b\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_6ab7113b5d72b\" id=\"forminator-field-text-2_6ab7113b5d72b-label\" class=\"forminator-label\">Contact person and position <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-2\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-2_6ab7113b5d72b\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_6ab7113b5d72b\" id=\"forminator-field-text-4_6ab7113b5d72b-label\" class=\"forminator-label\">Telephone<\/label><input type=\"text\" name=\"text-4\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-4_6ab7113b5d72b\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-6\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-6_6ab7113b5d72b\" id=\"forminator-field-text-6_6ab7113b5d72b-label\" class=\"forminator-label\">Email<\/label><input type=\"text\" name=\"text-6\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-6_6ab7113b5d72b\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_6ab7113b5d72b\" id=\"forminator-field-text-5_6ab7113b5d72b-label\" class=\"forminator-label\">Region and town \/ locality<\/label><input type=\"text\" name=\"text-5\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-5_6ab7113b5d72b\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-10\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-10_6ab7113b5d72b\" id=\"forminator-field-text-10_6ab7113b5d72b-label\" class=\"forminator-label\">Media entry \/ series title<\/label><input type=\"text\" name=\"text-10\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-10_6ab7113b5d72b\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-9\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-9_6ab7113b5d72b\" id=\"forminator-field-text-9_6ab7113b5d72b-label\" class=\"forminator-label\">Outlet, original date and runtime \/ length<\/label><input type=\"text\" name=\"text-9\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-9_6ab7113b5d72b\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-8\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-8_6ab7113b5d72b\" id=\"forminator-field-text-8_6ab7113b5d72b-label\" class=\"forminator-label\">Primary viewing \/ reading link <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-8\" value=\"Include access code if needed\" placeholder=\"\" id=\"forminator-field-text-8_6ab7113b5d72b\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-7\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-7_6ab7113b5d72b\" id=\"forminator-field-text-7_6ab7113b5d72b-label\" class=\"forminator-label\">Nominator name, relationship and contact<\/label><input type=\"text\" name=\"text-7\" value=\"Only for third-party nominations\" placeholder=\"\" id=\"forminator-field-text-7_6ab7113b5d72b\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-5\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-5\"><div class=\"temvelo-section-title\">3. ELIGIBILITY CHECK<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-6ab7113b5d72b-label\"><label id=\"forminator-field-checkbox-1-1-6ab7113b5d72b-label\" for=\"forminator-field-checkbox-1-1-6ab7113b5d72b\" class=\"forminator-checkbox\" title=\"The work was carried out in, or directly benefits, South Africa.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"The work was carried out in, or directly benefits, South Africa.\" id=\"forminator-field-checkbox-1-1-6ab7113b5d72b\" aria-labelledby=\"forminator-field-checkbox-1-1-6ab7113b5d72b-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">The work was carried out in, or directly benefits, South Africa.<\/span><\/label><label id=\"forminator-field-checkbox-1-2-6ab7113b5d72b-label\" for=\"forminator-field-checkbox-1-2-6ab7113b5d72b\" class=\"forminator-checkbox\" title=\"The initiative was active or produced results during 2023-2026.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"The initiative was active or produced results during 2023-2026.\" id=\"forminator-field-checkbox-1-2-6ab7113b5d72b\" aria-labelledby=\"forminator-field-checkbox-1-2-6ab7113b5d72b-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">The initiative was active or produced results during 2023-2026.<\/span><\/label><label id=\"forminator-field-checkbox-1-3-6ab7113b5d72b-label\" for=\"forminator-field-checkbox-1-3-6ab7113b5d72b\" class=\"forminator-checkbox\" title=\"The nominee or organisation permits this entry and the information can be verified.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"The nominee or organisation permits this entry and the information can be verified.\" id=\"forminator-field-checkbox-1-3-6ab7113b5d72b\" aria-labelledby=\"forminator-field-checkbox-1-3-6ab7113b5d72b-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">The nominee or organisation permits this entry and the information can be verified.<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-7\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-7\"><div class=\"temvelo-section-title\">4. HOW THE ENTRY WILL BE JUDGED<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-6\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-6\"><div class=\"judging-grid\">\n    <div class=\"judging-item\">\n        <strong>Project merit and relevance<\/strong>\n        <span>20 points<\/span>\n    <\/div>\n\n    <div class=\"judging-item\">\n        <strong>Impact, evidence and why it should win<\/strong>\n        <span>35 points<\/span>\n    <\/div>\n\n    <div class=\"judging-item\">\n        <strong>Scalability \/ transferability<\/strong>\n        <span>20 points<\/span>\n    <\/div>\n\n    <div class=\"judging-item\">\n        <strong>Sustainability and lasting value<\/strong>\n        <span>25 points<\/span>\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-8\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-8\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 1 | The initiative and its merit<\/span>\n        <strong>20 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        Describe the submitted media work and the environmental issue it addresses. State the title or series, format, original publication or air date, outlet or platform, intended audience, and what makes the treatment distinctive.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-1\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-1_6ab7113b5d72b\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-9\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-9\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 2 | Why this entry should win<\/span>\n        <strong>35 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        Why should this media entry win? Give evidence of quality, accuracy, public value and impact. Include reach or audience figures where available, engagement, awareness or behaviour change, community response, debate, policy influence or action prompted.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-2\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-2\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-2_6ab7113b5d72b\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-10\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-10\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 3 | Scalability \/ transferability<\/span>\n        <strong>20 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        How can the work reach a wider or more diverse audience? Explain how it could be redistributed, translated, adapted, syndicated, archived, used for education or developed into follow-up coverage.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-3\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-3\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-3_6ab7113b5d72b\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-11\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-11\"><div class=\"temvelo-question-block\">\n    <div class=\"temvelo-question-title\">\n        <span>QUESTION 4 | Sustainability and lasting value<\/span>\n        <strong>25 POINTS<\/strong>\n    <\/div>\n\n    <div class=\"temvelo-question-description\">\n        How will the environmental journalism or communication effort continue and remain credible? Explain future coverage, editorial commitment, skills, resources, partnerships, ethical safeguards, follow-up and impact tracking.\n    <\/div>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-4\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-4\" placeholder=\"Click here and type. This box is unlocked and will expand automatically.\" id=\"forminator-field-textarea-4_6ab7113b5d72b\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-12\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-12\"><div class=\"temvelo-section-title\">SUPPORTING EVIDENCE<\/div>\n\n<p class=\"temvelo-section-description\">\nProvide at least one working viewing or reading link. List up to five strong items, including audience or engagement evidence where available. Include any access code and runtime. Attachments must total no more than 10 MB.\n<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-1\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-1_6ab7113b5d72b\" id=\"forminator-field-upload-1_6ab7113b5d72b-label\" class=\"forminator-label\">Upload file<\/label><div class=\"forminator-file-upload \" data-element=\"upload-1_6ab7113b5d72b\"><input type=\"file\" name=\"upload-1\" id=\"forminator-field-upload-1_6ab7113b5d72b\" class=\"forminator-input-file\" accept=\".jpg,.jpeg,.jpe,.gif,.png,.bmp,.tiff,.tif,.webp,.avif,.ico,.heic,.heif,.heics,.heifs,.asf,.asx,.wmv,.wmx,.wm,.avi,.divx,.flv,.mov,.qt,.mpeg,.mpg,.mpe,.mp4,.m4v,.ogv,.webm,.mkv,.3gp,.3gpp,.3g2,.3gp2,.txt,.asc,.c,.cc,.h,.srt,.csv,.tsv,.ics,.rtx,.vtt,.mp3,.m4a,.m4b,.aac,.ra,.ram,.wav,.x-wav,.ogg,.oga,.flac,.mid,.midi,.wma,.wax,.mka,.rtf,.pdf,.class,.tar,.zip,.gz,.gzip,.7z,.psd,.xcf,.doc,.pot,.pps,.ppt,.wri,.xla,.xls,.xlt,.xlw,.mdb,.mpp,.docx,.docm,.dotx,.dotm,.xlsx,.xlsm,.xlsb,.xltx,.xltm,.xlam,.pptx,.pptm,.ppsx,.ppsm,.potx,.potm,.ppam,.sldx,.sldm,.onetoc,.onetoc2,.onetmp,.onepkg,.oxps,.xps,.odt,.odp,.ods,.odg,.odc,.odb,.odf,.wp,.wpd,.key,.numbers,.pages\" tabindex=\"-1\"><button id=\"forminator-field-upload-1_6ab7113b5d72b_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-1_6ab7113b5d72b\">Choose File<\/button><span data-empty-text=\"No file chosen\">No file chosen<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Delete uploaded file<\/span><\/button><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-11\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-11_6ab7113b5d72b\" id=\"forminator-field-text-11_6ab7113b5d72b-label\" class=\"forminator-label\">Evidence \/ link 1 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-11\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-11_6ab7113b5d72b\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-12\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-12_6ab7113b5d72b\" id=\"forminator-field-text-12_6ab7113b5d72b-label\" class=\"forminator-label\">Evidence \/ link 2 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-12\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-12_6ab7113b5d72b\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-13\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-13_6ab7113b5d72b\" id=\"forminator-field-text-13_6ab7113b5d72b-label\" class=\"forminator-label\">Evidence \/ link 3 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-13\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-13_6ab7113b5d72b\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-14\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-14_6ab7113b5d72b\" id=\"forminator-field-text-14_6ab7113b5d72b-label\" class=\"forminator-label\">Evidence \/ link 4<\/label><input type=\"text\" name=\"text-14\" value=\"Optional\" placeholder=\"\" id=\"forminator-field-text-14_6ab7113b5d72b\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-15\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-15_6ab7113b5d72b\" id=\"forminator-field-text-15_6ab7113b5d72b-label\" class=\"forminator-label\">Evidence \/ link 5<\/label><input type=\"text\" name=\"text-15\" value=\"Optional\" placeholder=\"\" id=\"forminator-field-text-15_6ab7113b5d72b\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-16\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-16_6ab7113b5d72b\" id=\"forminator-field-text-16_6ab7113b5d72b-label\" class=\"forminator-label\">Access code or attachment names<\/label><input type=\"text\" name=\"text-16\" value=\"If applicable\" placeholder=\"\" id=\"forminator-field-text-16_6ab7113b5d72b\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-13\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-13\"><div class=\"temvelo-section-title\">DECLARATION AND CONSENT<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-2\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-2-6ab7113b5d72b-label\"><label id=\"forminator-field-checkbox-2-1-6ab7113b5d72b-label\" for=\"forminator-field-checkbox-2-1-6ab7113b5d72b\" class=\"forminator-checkbox\" title=\"I confirm that the information in this form is accurate and may be verified by the judging panel.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"I confirm that the information in this form is accurate and may be verified by the judging panel.\" id=\"forminator-field-checkbox-2-1-6ab7113b5d72b\" aria-labelledby=\"forminator-field-checkbox-2-1-6ab7113b5d72b-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I confirm that the information in this form is accurate and may be verified by the judging panel.<\/span><\/label><label id=\"forminator-field-checkbox-2-2-6ab7113b5d72b-label\" for=\"forminator-field-checkbox-2-2-6ab7113b5d72b\" class=\"forminator-checkbox\" title=\"I have authority to submit this application or nomination and the supporting material.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"I have authority to submit this application or nomination and the supporting material.\" id=\"forminator-field-checkbox-2-2-6ab7113b5d72b\" aria-labelledby=\"forminator-field-checkbox-2-2-6ab7113b5d72b-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I have authority to submit this application or nomination and the supporting material.<\/span><\/label><label id=\"forminator-field-checkbox-2-3-6ab7113b5d72b-label\" for=\"forminator-field-checkbox-2-3-6ab7113b5d72b\" class=\"forminator-checkbox\" title=\"I understand that shortlisted or winning entries may be publicised, subject to any confidentiality clearly identified in the submission.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"I understand that shortlisted or winning entries may be publicised, subject to any confidentiality clearly identified in the submission.\" id=\"forminator-field-checkbox-2-3-6ab7113b5d72b\" aria-labelledby=\"forminator-field-checkbox-2-3-6ab7113b5d72b-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I understand that shortlisted or winning entries may be publicised, subject to any confidentiality clearly identified in the submission.<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-17\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-17_6ab7113b5d72b\" id=\"forminator-field-text-17_6ab7113b5d72b-label\" class=\"forminator-label\">Name<\/label><input type=\"text\" name=\"text-17\" value=\"Type here\" placeholder=\"\" id=\"forminator-field-text-17_6ab7113b5d72b\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-18\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-18_6ab7113b5d72b\" id=\"forminator-field-text-18_6ab7113b5d72b-label\" class=\"forminator-label\">Capacity<\/label><input type=\"text\" name=\"text-18\" value=\"Nominee \/ nominator \/ authorised representative\" placeholder=\"\" id=\"forminator-field-text-18_6ab7113b5d72b\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-20\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-20_6ab7113b5d72b\" id=\"forminator-field-text-20_6ab7113b5d72b-label\" class=\"forminator-label\">Signature<\/label><input type=\"text\" name=\"text-20\" value=\"Sign or type full name\" placeholder=\"\" id=\"forminator-field-text-20_6ab7113b5d72b\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-19\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-19_6ab7113b5d72b\" id=\"forminator-field-text-19_6ab7113b5d72b-label\" class=\"forminator-label\">Date<\/label><input type=\"text\" name=\"text-19\" value=\"DD\/MM\/YYYY\" placeholder=\"\" id=\"forminator-field-text-19_6ab7113b5d72b\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Submit<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"9a53fd6ff9\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F223\" \/><input type=\"hidden\" name=\"form_id\" value=\"2257\"><input type=\"hidden\" name=\"page_id\" value=\"223\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/temvelo.co.za\/?page_id=223\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center alignfull has-nv-site-bg-color has-text-color has-background has-link-color wp-elements-12\" style=\"background-color:#1b9f00\">Sustainable Construction Business Category Entry Form<\/h2>\n\n\n\n<div class=\"forminator-guttenberg\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-572 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-572\" data-uid=\"6ab7113b62502\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-572\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-572 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"572\"\n\t\t\t\tenctype=\"multipart\/form-data\" data-color-option=\"theme\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"6ab7113b62502\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"html-1\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-1\"><p><strong>Temvelo Awards Application\/ Nomination Form<\/strong><\/p>\n<p>The awards will shine a light on and reward the achievements of who do their bit to sustain the environment. The Environment Awards acknowledge, recognize and honour businesses, organizations, communities and individuals who have demonstrated exceptional environmental stewardship by dedicating themselves and their talents to the protection of the environment and promotion of its love. The measuring scale to be used in the selection of these entities shall be submission of motivation by the individuals and entities &nbsp;&nbsp;as well as the public opinion.&nbsp; The awarding program provides competition and incentives to expand and improve efforts directed towards environmental protection and Climate Action.<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-2\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-2\"><p><strong>The objectives of the awards are to:<\/strong><\/p>\n<ul>\n<li>To reward individuals, companies and organizations for their outstanding efforts in the protection of the environment<\/li>\n<li>To improve environmental performance<\/li>\n<li>To encourage the efficient use of resources.<\/li>\n<li>To enhance the competitiveness of organisations.<\/li>\n<li>To support the wider goals of environmental sustainability, including social benefits through community and staff involvement.<\/li>\n<li>Stimulate Award winners to sustain their dedicated work, raise their profile, extend their professional network and strengthen their scope of work<\/li>\n<\/ul><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-3\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-3\"><p><strong>Sustainable Construction<\/strong><\/p>\n<p><strong>Please tick the category you are applying for:<\/strong><\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-6ab7113b62502-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-1-6ab7113b62502-label\" class=\"forminator-label\">Categories<\/span><label id=\"forminator-field-checkbox-1-1-6ab7113b62502-label\" for=\"forminator-field-checkbox-1-1-6ab7113b62502\" class=\"forminator-checkbox\" title=\"1.\tThe Sustainable Road Construction Award\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"1.\tThe Sustainable Road Construction Award\" id=\"forminator-field-checkbox-1-1-6ab7113b62502\" aria-labelledby=\"forminator-field-checkbox-1-1-6ab7113b62502-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">1.\tThe Sustainable Road Construction Award<\/span><\/label><label id=\"forminator-field-checkbox-1-2-6ab7113b62502-label\" for=\"forminator-field-checkbox-1-2-6ab7113b62502\" class=\"forminator-checkbox\" title=\"2.\tThe Sustainable Infrastructure Development Award\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"2.\tThe Sustainable Infrastructure Development Award\" id=\"forminator-field-checkbox-1-2-6ab7113b62502\" aria-labelledby=\"forminator-field-checkbox-1-2-6ab7113b62502-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">2.\tThe Sustainable Infrastructure Development Award<\/span><\/label><label id=\"forminator-field-checkbox-1-3-6ab7113b62502-label\" for=\"forminator-field-checkbox-1-3-6ab7113b62502\" class=\"forminator-checkbox\" title=\"3.\tThe Climate-Resilient Structures Award\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"3.\tThe Climate-Resilient Structures Award\" id=\"forminator-field-checkbox-1-3-6ab7113b62502\" aria-labelledby=\"forminator-field-checkbox-1-3-6ab7113b62502-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">3.\tThe Climate-Resilient Structures Award<\/span><\/label><label id=\"forminator-field-checkbox-1-4-6ab7113b62502-label\" for=\"forminator-field-checkbox-1-4-6ab7113b62502\" class=\"forminator-checkbox\" title=\"4.\tThe Energy-Efficient Building Design Award (designers &amp; facility owners)\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"4.\tThe Energy-Efficient Building Design Award (designers &amp; facility owners)\" id=\"forminator-field-checkbox-1-4-6ab7113b62502\" aria-labelledby=\"forminator-field-checkbox-1-4-6ab7113b62502-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">4.\tThe Energy-Efficient Building Design Award (designers &amp; facility owners)<\/span><\/label><label id=\"forminator-field-checkbox-1-5-6ab7113b62502-label\" for=\"forminator-field-checkbox-1-5-6ab7113b62502\" class=\"forminator-checkbox\" title=\"5.\tThe Green Urban Design and Public Spaces Award\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"5.\tThe Green Urban Design and Public Spaces Award\" id=\"forminator-field-checkbox-1-5-6ab7113b62502\" aria-labelledby=\"forminator-field-checkbox-1-5-6ab7113b62502-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">5.\tThe Green Urban Design and Public Spaces Award<\/span><\/label><label id=\"forminator-field-checkbox-1-6-6ab7113b62502-label\" for=\"forminator-field-checkbox-1-6-6ab7113b62502\" class=\"forminator-checkbox\" title=\"6.\tThe Innovative Green Building Materials Award\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"6.\tThe Innovative Green Building Materials Award\" id=\"forminator-field-checkbox-1-6-6ab7113b62502\" aria-labelledby=\"forminator-field-checkbox-1-6-6ab7113b62502-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">6.\tThe Innovative Green Building Materials Award<\/span><\/label><label id=\"forminator-field-checkbox-1-7-6ab7113b62502-label\" for=\"forminator-field-checkbox-1-7-6ab7113b62502\" class=\"forminator-checkbox\" title=\"7.\tThe Low-Income Sustainable Housing Award\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"7.\tThe Low-Income Sustainable Housing Award\" id=\"forminator-field-checkbox-1-7-6ab7113b62502\" aria-labelledby=\"forminator-field-checkbox-1-7-6ab7113b62502-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">7.\tThe Low-Income Sustainable Housing Award<\/span><\/label><label id=\"forminator-field-checkbox-1-8-6ab7113b62502-label\" for=\"forminator-field-checkbox-1-8-6ab7113b62502\" class=\"forminator-checkbox\" title=\"8.\tThe Women in Green Construction Leadership Award\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"8.\tThe Women in Green Construction Leadership Award\" id=\"forminator-field-checkbox-1-8-6ab7113b62502\" aria-labelledby=\"forminator-field-checkbox-1-8-6ab7113b62502-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">8.\tThe Women in Green Construction Leadership Award<\/span><\/label><label id=\"forminator-field-checkbox-1-9-6ab7113b62502-label\" for=\"forminator-field-checkbox-1-9-6ab7113b62502\" class=\"forminator-checkbox\" title=\"9.\tThe Green Construction Maintenance (Buildings or Roads) Award\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"9.\tThe Green Construction Maintenance (Buildings or Roads) Award\" id=\"forminator-field-checkbox-1-9-6ab7113b62502\" aria-labelledby=\"forminator-field-checkbox-1-9-6ab7113b62502-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">9.\tThe Green Construction Maintenance (Buildings or Roads) Award<\/span><\/label><label id=\"forminator-field-checkbox-1-10-6ab7113b62502-label\" for=\"forminator-field-checkbox-1-10-6ab7113b62502\" class=\"forminator-checkbox\" title=\"10.\tEmerging Green Contractor Award\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"10.\tEmerging Green Contractor Award\" id=\"forminator-field-checkbox-1-10-6ab7113b62502\" aria-labelledby=\"forminator-field-checkbox-1-10-6ab7113b62502-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">10.\tEmerging Green Contractor Award<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-4\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-4\"><p><strong>Part A: Eligibility<\/strong><\/p>\n<p><strong>All Applicants:<\/strong><\/p>\n<p>To be eligible you must be one of the following:<\/p>\n<p>The program or activity must be undertaken in in the Province<\/p>\n<p>The program or activity has been undertaken in the last three years<\/p>\n<p><strong>Individual Applicants Only:<\/strong><\/p>\n<p>For individuals, in addition to the above, all the following criteria must be met to be eligible. Please confirm that all the following are true.<\/p>\n<p>The applicant is a resident of the Province<\/p>\n<p>The applicant is a South African citizen or permanent resident of South Africa<\/p>\n<p><strong>Part B: Contact Information<\/strong><\/p>\n<p><strong>Section A: Applicant\/Nominee Information<\/strong><\/p>\n<p>(If more than one applicant\/organization is involved in this application please provide detail)<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_6ab7113b62502\" id=\"forminator-field-name-1_6ab7113b62502-label\" class=\"forminator-label\">Last Name:<\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"\" id=\"forminator-field-name-1_6ab7113b62502\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-2\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-2_6ab7113b62502\" id=\"forminator-field-name-2_6ab7113b62502-label\" class=\"forminator-label\">First Name:<\/label><input type=\"text\" name=\"name-2\" value=\"\" placeholder=\"\" id=\"forminator-field-name-2_6ab7113b62502\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-3\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-3_6ab7113b62502\" id=\"forminator-field-name-3_6ab7113b62502-label\" class=\"forminator-label\">Middle Initial:<\/label><input type=\"text\" name=\"name-3\" value=\"\" placeholder=\"\" id=\"forminator-field-name-3_6ab7113b62502\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_6ab7113b62502\" id=\"forminator-field-text-1_6ab7113b62502-label\" class=\"forminator-label\">Organization:<\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"\" id=\"forminator-field-text-1_6ab7113b62502\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-1\" class=\"forminator-field-address forminator-col forminator-col-12 \"><div class=\"forminator-row\"><div id=\"address-1-street_address\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-street_address_6ab7113b62502\" id=\"forminator-field-address-1-street_address_6ab7113b62502-label\" class=\"forminator-label\">Street Address<\/label><input type=\"text\" name=\"address-1-street_address\" placeholder=\"\" id=\"forminator-field-address-1-street_address_6ab7113b62502\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" autocomplete=\"address-line1\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-1-address_line\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-address_line_6ab7113b62502\" id=\"forminator-field-address-1-address_line_6ab7113b62502-label\" class=\"forminator-label\">Apartment, suite, etc<\/label><input type=\"text\" name=\"address-1-address_line\" placeholder=\"\" id=\"forminator-field-address-1-address_line_6ab7113b62502\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" autocomplete=\"address-line2\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"address-1-city\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-city_6ab7113b62502\" id=\"forminator-field-address-1-city_6ab7113b62502-label\" class=\"forminator-label\">City<\/label><input type=\"text\" name=\"address-1-city\" placeholder=\"\" id=\"forminator-field-address-1-city_6ab7113b62502\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" autocomplete=\"address-level2\" value=\"\" \/><\/div><\/div><div id=\"address-1-state\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-state_6ab7113b62502\" id=\"forminator-field-address-1-state_6ab7113b62502-label\" class=\"forminator-label\">State\/Province<\/label><input type=\"text\" name=\"address-1-state\" placeholder=\"\" id=\"forminator-field-address-1-state_6ab7113b62502\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" autocomplete=\"address-level1\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"address-1-zip\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-zip_6ab7113b62502\" id=\"forminator-field-address-1-zip_6ab7113b62502-label\" class=\"forminator-label\">ZIP \/ Postal code<\/label><input type=\"text\" name=\"address-1-zip\" placeholder=\"\" id=\"forminator-field-address-1-zip_6ab7113b62502\" class=\"forminator-input\" autocomplete=\"postal-code\" value=\"\" \/><\/div><\/div><div id=\"address-1-country\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-572__field--address-1-country_6ab7113b62502\" id=\"forminator-field-572__field--address-1-country_6ab7113b62502-label\" class=\"forminator-label\">Country<\/label><select name=\"address-1-country\" id=\"forminator-field-572__field--address-1-country_6ab7113b62502\" class=\"forminator-select2\" data-search=\"true\" data-placeholder=\"Select country\" autocomplete=\"country-name country\" data-default-value=\"\"><option value=\"\" data-country-code=\"\" selected=\"selected\"><\/option><option value=\"Afghanistan\" data-country-code=\"AF\" >Afghanistan<\/option><option value=\"Albania\" data-country-code=\"AL\" >Albania<\/option><option value=\"Algeria\" data-country-code=\"DZ\" >Algeria<\/option><option value=\"American Samoa\" data-country-code=\"AS\" >American Samoa<\/option><option value=\"Andorra\" data-country-code=\"AD\" >Andorra<\/option><option value=\"Angola\" data-country-code=\"AO\" >Angola<\/option><option value=\"Anguilla\" data-country-code=\"AI\" >Anguilla<\/option><option value=\"Antarctica\" data-country-code=\"AQ\" >Antarctica<\/option><option value=\"Antigua and Barbuda\" data-country-code=\"AG\" >Antigua and Barbuda<\/option><option value=\"Argentina\" data-country-code=\"AR\" >Argentina<\/option><option value=\"Armenia\" data-country-code=\"AM\" >Armenia<\/option><option value=\"Aruba\" data-country-code=\"AW\" >Aruba<\/option><option value=\"Australia\" data-country-code=\"AU\" >Australia<\/option><option value=\"Austria\" data-country-code=\"AT\" >Austria<\/option><option value=\"Azerbaijan\" data-country-code=\"AZ\" >Azerbaijan<\/option><option value=\"Bahamas\" data-country-code=\"BS\" >Bahamas<\/option><option value=\"Bahrain\" data-country-code=\"BH\" >Bahrain<\/option><option value=\"Bangladesh\" data-country-code=\"BD\" >Bangladesh<\/option><option value=\"Barbados\" data-country-code=\"BB\" >Barbados<\/option><option value=\"Belarus\" data-country-code=\"BY\" >Belarus<\/option><option value=\"Belgium\" data-country-code=\"BE\" >Belgium<\/option><option value=\"Belize\" data-country-code=\"BZ\" >Belize<\/option><option value=\"Benin\" data-country-code=\"BJ\" >Benin<\/option><option value=\"Bermuda\" data-country-code=\"BM\" >Bermuda<\/option><option value=\"Bhutan\" data-country-code=\"BT\" >Bhutan<\/option><option value=\"Bolivia\" data-country-code=\"BO\" >Bolivia<\/option><option value=\"Bosnia and Herzegovina\" data-country-code=\"BA\" >Bosnia and Herzegovina<\/option><option value=\"Botswana\" data-country-code=\"BW\" >Botswana<\/option><option value=\"Bouvet Island\" data-country-code=\"BV\" >Bouvet Island<\/option><option value=\"Brazil\" data-country-code=\"BR\" >Brazil<\/option><option value=\"British Indian Ocean Territory\" data-country-code=\"IO\" >British Indian Ocean Territory<\/option><option value=\"Brunei\" data-country-code=\"BN\" >Brunei<\/option><option value=\"Bulgaria\" data-country-code=\"BG\" >Bulgaria<\/option><option value=\"Burkina Faso\" data-country-code=\"BF\" >Burkina Faso<\/option><option value=\"Burundi\" data-country-code=\"BI\" >Burundi<\/option><option value=\"Cabo Verde\" data-country-code=\"CV\" >Cabo Verde<\/option><option value=\"Cambodia\" data-country-code=\"KH\" >Cambodia<\/option><option value=\"Cameroon\" data-country-code=\"CM\" >Cameroon<\/option><option value=\"Canada\" data-country-code=\"CA\" >Canada<\/option><option value=\"Cayman Islands\" data-country-code=\"KY\" >Cayman Islands<\/option><option value=\"Central African Republic\" data-country-code=\"CF\" >Central African Republic<\/option><option value=\"Chad\" data-country-code=\"TD\" >Chad<\/option><option value=\"Chile\" data-country-code=\"CL\" >Chile<\/option><option value=\"China, People's Republic of\" data-country-code=\"CN\" >China, People&#8217;s Republic of<\/option><option value=\"Christmas Island\" data-country-code=\"CX\" >Christmas Island<\/option><option value=\"Cocos Islands\" data-country-code=\"CC\" >Cocos Islands<\/option><option value=\"Colombia\" data-country-code=\"CO\" >Colombia<\/option><option value=\"Comoros\" data-country-code=\"KM\" >Comoros<\/option><option value=\"Congo, Democratic Republic of the\" data-country-code=\"CD\" >Congo, Democratic Republic of the<\/option><option value=\"Congo, Republic of the\" data-country-code=\"CG\" >Congo, Republic of the<\/option><option value=\"Cook Islands\" data-country-code=\"CK\" >Cook Islands<\/option><option value=\"Costa Rica\" data-country-code=\"CR\" >Costa Rica<\/option><option value=\"Croatia\" data-country-code=\"HR\" >Croatia<\/option><option value=\"Cuba\" data-country-code=\"CU\" >Cuba<\/option><option value=\"Cura\u00e7ao\" data-country-code=\"CW\" >Cura\u00e7ao<\/option><option value=\"Cyprus\" data-country-code=\"CY\" >Cyprus<\/option><option value=\"Czech Republic\" data-country-code=\"CZ\" >Czech Republic<\/option><option value=\"C\u00f4te d'Ivoire\" data-country-code=\"CI\" >C\u00f4te d&#8217;Ivoire<\/option><option value=\"Denmark\" data-country-code=\"DK\" >Denmark<\/option><option value=\"Djibouti\" data-country-code=\"DJ\" >Djibouti<\/option><option value=\"Dominica\" data-country-code=\"DM\" >Dominica<\/option><option value=\"Dominican Republic\" data-country-code=\"DO\" >Dominican Republic<\/option><option value=\"East Timor\" data-country-code=\"TL\" >East Timor<\/option><option value=\"Ecuador\" data-country-code=\"EC\" >Ecuador<\/option><option value=\"Egypt\" data-country-code=\"EG\" >Egypt<\/option><option value=\"El Salvador\" data-country-code=\"SV\" >El Salvador<\/option><option value=\"Equatorial Guinea\" data-country-code=\"GQ\" >Equatorial Guinea<\/option><option value=\"Eritrea\" data-country-code=\"ER\" >Eritrea<\/option><option value=\"Estonia\" data-country-code=\"EE\" >Estonia<\/option><option value=\"Ethiopia\" data-country-code=\"ET\" >Ethiopia<\/option><option value=\"Falkland Islands\" data-country-code=\"FK\" >Falkland Islands<\/option><option value=\"Faroe Islands\" data-country-code=\"FO\" >Faroe Islands<\/option><option value=\"Fiji\" data-country-code=\"FJ\" >Fiji<\/option><option value=\"Finland\" data-country-code=\"FI\" >Finland<\/option><option value=\"France\" data-country-code=\"FR\" >France<\/option><option value=\"France, Metropolitan\" data-country-code=\"FX\" >France, Metropolitan<\/option><option value=\"French Guiana\" data-country-code=\"GF\" >French Guiana<\/option><option value=\"French Polynesia\" data-country-code=\"PF\" >French Polynesia<\/option><option value=\"French South Territories\" data-country-code=\"TF\" >French South Territories<\/option><option value=\"Gabon\" data-country-code=\"GA\" >Gabon<\/option><option value=\"Gambia\" data-country-code=\"GM\" >Gambia<\/option><option value=\"Georgia\" data-country-code=\"GE\" >Georgia<\/option><option value=\"Germany\" data-country-code=\"DE\" >Germany<\/option><option value=\"Ghana\" data-country-code=\"GH\" >Ghana<\/option><option value=\"Gibraltar\" data-country-code=\"GI\" >Gibraltar<\/option><option value=\"Greece\" data-country-code=\"GR\" >Greece<\/option><option value=\"Greenland\" data-country-code=\"GL\" >Greenland<\/option><option value=\"Grenada\" data-country-code=\"GD\" >Grenada<\/option><option value=\"Guadeloupe\" data-country-code=\"GP\" >Guadeloupe<\/option><option value=\"Guam\" data-country-code=\"GU\" >Guam<\/option><option value=\"Guatemala\" data-country-code=\"GT\" >Guatemala<\/option><option value=\"Guernsey\" data-country-code=\"GG\" >Guernsey<\/option><option value=\"Guinea\" data-country-code=\"GN\" >Guinea<\/option><option value=\"Guinea-Bissau\" data-country-code=\"GW\" >Guinea-Bissau<\/option><option value=\"Guyana\" data-country-code=\"GY\" >Guyana<\/option><option value=\"Haiti\" data-country-code=\"HT\" >Haiti<\/option><option value=\"Heard Island And Mcdonald Island\" data-country-code=\"HM\" >Heard Island And Mcdonald Island<\/option><option value=\"Honduras\" data-country-code=\"HN\" >Honduras<\/option><option value=\"Hong Kong\" data-country-code=\"HK\" >Hong Kong<\/option><option value=\"Hungary\" data-country-code=\"HU\" >Hungary<\/option><option value=\"Iceland\" data-country-code=\"IS\" >Iceland<\/option><option value=\"India\" data-country-code=\"IN\" >India<\/option><option value=\"Indonesia\" data-country-code=\"ID\" >Indonesia<\/option><option value=\"Iran\" data-country-code=\"IR\" >Iran<\/option><option value=\"Iraq\" data-country-code=\"IQ\" >Iraq<\/option><option value=\"Ireland\" data-country-code=\"IE\" >Ireland<\/option><option value=\"Israel\" data-country-code=\"IL\" >Israel<\/option><option value=\"Italy\" data-country-code=\"IT\" >Italy<\/option><option value=\"Jamaica\" data-country-code=\"JM\" >Jamaica<\/option><option value=\"Japan\" data-country-code=\"JP\" >Japan<\/option><option value=\"Jersey\" data-country-code=\"JE\" >Jersey<\/option><option value=\"Johnston Island\" data-country-code=\"JT\" >Johnston Island<\/option><option value=\"Jordan\" data-country-code=\"JO\" >Jordan<\/option><option value=\"Kazakhstan\" data-country-code=\"KZ\" >Kazakhstan<\/option><option value=\"Kenya\" data-country-code=\"KE\" >Kenya<\/option><option value=\"Kiribati\" data-country-code=\"KI\" >Kiribati<\/option><option value=\"Korea, Democratic People's Republic of\" data-country-code=\"KP\" >Korea, Democratic People&#8217;s Republic of<\/option><option value=\"Korea, Republic of\" data-country-code=\"KR\" >Korea, Republic of<\/option><option value=\"Kosovo\" data-country-code=\"XK\" >Kosovo<\/option><option value=\"Kuwait\" data-country-code=\"KW\" >Kuwait<\/option><option value=\"Kyrgyzstan\" data-country-code=\"KG\" >Kyrgyzstan<\/option><option value=\"Lao People's Democratic Republic\" data-country-code=\"LA\" >Lao People&#8217;s Democratic Republic<\/option><option value=\"Latvia\" data-country-code=\"LV\" >Latvia<\/option><option value=\"Lebanon\" data-country-code=\"LB\" >Lebanon<\/option><option value=\"Lesotho\" data-country-code=\"LS\" >Lesotho<\/option><option value=\"Liberia\" data-country-code=\"LR\" >Liberia<\/option><option value=\"Libya\" data-country-code=\"LY\" >Libya<\/option><option value=\"Liechtenstein\" data-country-code=\"LI\" >Liechtenstein<\/option><option value=\"Lithuania\" data-country-code=\"LT\" >Lithuania<\/option><option value=\"Luxembourg\" data-country-code=\"LU\" >Luxembourg<\/option><option value=\"Macau\" data-country-code=\"MO\" >Macau<\/option><option value=\"Madagascar\" data-country-code=\"MG\" >Madagascar<\/option><option value=\"Malawi\" data-country-code=\"MW\" >Malawi<\/option><option value=\"Malaysia\" data-country-code=\"MY\" >Malaysia<\/option><option value=\"Maldives\" data-country-code=\"MV\" >Maldives<\/option><option value=\"Mali\" data-country-code=\"ML\" >Mali<\/option><option value=\"Malta\" data-country-code=\"MT\" >Malta<\/option><option value=\"Marshall Islands\" data-country-code=\"MH\" >Marshall Islands<\/option><option value=\"Martinique\" data-country-code=\"MQ\" >Martinique<\/option><option value=\"Mauritania\" data-country-code=\"MR\" >Mauritania<\/option><option value=\"Mauritius\" data-country-code=\"MU\" >Mauritius<\/option><option value=\"Mayotte\" data-country-code=\"YT\" >Mayotte<\/option><option value=\"Mexico\" data-country-code=\"MX\" >Mexico<\/option><option value=\"Micronesia\" data-country-code=\"FM\" >Micronesia<\/option><option value=\"Moldova\" data-country-code=\"MD\" >Moldova<\/option><option value=\"Monaco\" data-country-code=\"MC\" >Monaco<\/option><option value=\"Mongolia\" data-country-code=\"MN\" >Mongolia<\/option><option value=\"Montenegro\" data-country-code=\"ME\" >Montenegro<\/option><option value=\"Montserrat\" data-country-code=\"MS\" >Montserrat<\/option><option value=\"Morocco\" data-country-code=\"MA\" >Morocco<\/option><option value=\"Mozambique\" data-country-code=\"MZ\" >Mozambique<\/option><option value=\"Myanmar\" data-country-code=\"MM\" >Myanmar<\/option><option value=\"Namibia\" data-country-code=\"NA\" >Namibia<\/option><option value=\"Nauru\" data-country-code=\"NR\" >Nauru<\/option><option value=\"Nepal\" data-country-code=\"NP\" >Nepal<\/option><option value=\"Netherlands\" data-country-code=\"NL\" >Netherlands<\/option><option value=\"Netherlands Antilles\" data-country-code=\"AN\" >Netherlands Antilles<\/option><option value=\"New Caledonia\" data-country-code=\"NC\" >New Caledonia<\/option><option value=\"New Zealand\" data-country-code=\"NZ\" >New Zealand<\/option><option value=\"Nicaragua\" data-country-code=\"NI\" >Nicaragua<\/option><option value=\"Niger\" data-country-code=\"NE\" >Niger<\/option><option value=\"Nigeria\" data-country-code=\"NG\" >Nigeria<\/option><option value=\"Niue\" data-country-code=\"NU\" >Niue<\/option><option value=\"Norfolk Island\" data-country-code=\"NF\" >Norfolk Island<\/option><option value=\"North Macedonia\" data-country-code=\"MK\" >North Macedonia<\/option><option value=\"Northern Mariana Islands\" data-country-code=\"MP\" >Northern Mariana Islands<\/option><option value=\"Norway\" data-country-code=\"NO\" >Norway<\/option><option value=\"Oman\" data-country-code=\"OM\" >Oman<\/option><option value=\"Pakistan\" data-country-code=\"PK\" >Pakistan<\/option><option value=\"Palau\" data-country-code=\"PW\" >Palau<\/option><option value=\"Palestine, State of\" data-country-code=\"PS\" >Palestine, State of<\/option><option value=\"Panama\" data-country-code=\"PA\" >Panama<\/option><option value=\"Papua New Guinea\" data-country-code=\"PG\" >Papua New Guinea<\/option><option value=\"Paraguay\" data-country-code=\"PY\" >Paraguay<\/option><option value=\"Peru\" data-country-code=\"PE\" >Peru<\/option><option value=\"Philippines\" data-country-code=\"PH\" >Philippines<\/option><option value=\"Pitcairn Islands\" data-country-code=\"PN\" >Pitcairn Islands<\/option><option value=\"Poland\" data-country-code=\"PL\" >Poland<\/option><option value=\"Portugal\" data-country-code=\"PT\" >Portugal<\/option><option value=\"Puerto Rico\" data-country-code=\"PR\" >Puerto Rico<\/option><option value=\"Qatar\" data-country-code=\"QA\" >Qatar<\/option><option value=\"Reunion Island\" data-country-code=\"RE\" >Reunion Island<\/option><option value=\"Romania\" data-country-code=\"RO\" >Romania<\/option><option value=\"Russia\" data-country-code=\"RU\" >Russia<\/option><option value=\"Rwanda\" data-country-code=\"RW\" >Rwanda<\/option><option value=\"Saint Helena\" data-country-code=\"SH\" >Saint Helena<\/option><option value=\"Saint Kitts and Nevis\" data-country-code=\"KN\" >Saint Kitts and Nevis<\/option><option value=\"Saint Lucia\" data-country-code=\"LC\" >Saint Lucia<\/option><option value=\"Saint Pierre &#038; Miquelon\" data-country-code=\"PM\" >Saint Pierre &#038; Miquelon<\/option><option value=\"Saint Vincent and the Grenadines\" data-country-code=\"VC\" >Saint Vincent and the Grenadines<\/option><option value=\"Samoa\" data-country-code=\"WS\" >Samoa<\/option><option value=\"San Marino\" data-country-code=\"SM\" >San Marino<\/option><option value=\"Sao Tome and Principe\" data-country-code=\"ST\" >Sao Tome and Principe<\/option><option value=\"Saudi Arabia\" data-country-code=\"SA\" >Saudi Arabia<\/option><option value=\"Senegal\" data-country-code=\"SN\" >Senegal<\/option><option value=\"Serbia\" data-country-code=\"RS\" >Serbia<\/option><option value=\"Seychelles\" data-country-code=\"SC\" >Seychelles<\/option><option value=\"Sierra Leone\" data-country-code=\"SL\" >Sierra Leone<\/option><option value=\"Singapore\" data-country-code=\"SG\" >Singapore<\/option><option value=\"Sint Maarten\" data-country-code=\"MF\" >Sint Maarten<\/option><option value=\"Slovakia\" data-country-code=\"SK\" >Slovakia<\/option><option value=\"Slovenia\" data-country-code=\"SI\" >Slovenia<\/option><option value=\"Solomon Islands\" data-country-code=\"SB\" >Solomon Islands<\/option><option value=\"Somalia\" data-country-code=\"SO\" >Somalia<\/option><option value=\"South Africa\" data-country-code=\"ZA\" >South Africa<\/option><option value=\"South Georgia and South Sandwich\" data-country-code=\"GS\" >South Georgia and South Sandwich<\/option><option value=\"Spain\" data-country-code=\"ES\" >Spain<\/option><option value=\"Sri Lanka\" data-country-code=\"LK\" >Sri Lanka<\/option><option value=\"Stateless Persons\" data-country-code=\"XX\" >Stateless Persons<\/option><option value=\"Sudan\" data-country-code=\"SD\" >Sudan<\/option><option value=\"Sudan, South\" data-country-code=\"SS\" >Sudan, South<\/option><option value=\"Suriname\" data-country-code=\"SR\" >Suriname<\/option><option value=\"Svalbard and Jan Mayen\" data-country-code=\"SJ\" >Svalbard and Jan Mayen<\/option><option value=\"Swaziland\" data-country-code=\"SZ\" >Swaziland<\/option><option value=\"Sweden\" data-country-code=\"SE\" >Sweden<\/option><option value=\"Switzerland\" data-country-code=\"CH\" >Switzerland<\/option><option value=\"Syria\" data-country-code=\"SY\" >Syria<\/option><option value=\"Taiwan, Republic of China\" data-country-code=\"TW\" >Taiwan, Republic of China<\/option><option value=\"Tajikistan\" data-country-code=\"TJ\" >Tajikistan<\/option><option value=\"Tanzania\" data-country-code=\"TZ\" >Tanzania<\/option><option value=\"Thailand\" data-country-code=\"TH\" >Thailand<\/option><option value=\"Togo\" data-country-code=\"TG\" >Togo<\/option><option value=\"Tokelau\" data-country-code=\"TK\" >Tokelau<\/option><option value=\"Tonga\" data-country-code=\"TO\" >Tonga<\/option><option value=\"Trinidad and Tobago\" data-country-code=\"TT\" >Trinidad and Tobago<\/option><option value=\"Tunisia\" data-country-code=\"TN\" >Tunisia<\/option><option value=\"Turkey\" data-country-code=\"TR\" >Turkey<\/option><option value=\"Turkmenistan\" data-country-code=\"TM\" >Turkmenistan<\/option><option value=\"Turks And Caicos Islands\" data-country-code=\"TC\" >Turks And Caicos Islands<\/option><option value=\"Tuvalu\" data-country-code=\"TV\" >Tuvalu<\/option><option value=\"US Minor Outlying Islands\" data-country-code=\"UM\" >US Minor Outlying Islands<\/option><option value=\"Uganda\" data-country-code=\"UG\" >Uganda<\/option><option value=\"Ukraine\" data-country-code=\"UA\" >Ukraine<\/option><option value=\"United Arab Emirates\" data-country-code=\"AE\" >United Arab Emirates<\/option><option value=\"United Kingdom\" data-country-code=\"GB\" >United Kingdom<\/option><option value=\"United States of America (USA)\" data-country-code=\"US\" >United States of America (USA)<\/option><option value=\"Uruguay\" data-country-code=\"UY\" >Uruguay<\/option><option value=\"Uzbekistan\" data-country-code=\"UZ\" >Uzbekistan<\/option><option value=\"Vanuatu\" data-country-code=\"VU\" >Vanuatu<\/option><option value=\"Vatican City\" data-country-code=\"VA\" >Vatican City<\/option><option value=\"Venezuela\" data-country-code=\"VE\" >Venezuela<\/option><option value=\"Vietnam\" data-country-code=\"VN\" >Vietnam<\/option><option value=\"Virgin Islands, British\" data-country-code=\"VG\" >Virgin Islands, British<\/option><option value=\"Virgin Islands, U.S.\" data-country-code=\"VI\" >Virgin Islands, U.S.<\/option><option value=\"Wallis And Futuna Islands\" data-country-code=\"WF\" >Wallis And Futuna Islands<\/option><option value=\"Western Sahara\" data-country-code=\"EH\" >Western Sahara<\/option><option value=\"Yemen\" data-country-code=\"YE\" >Yemen<\/option><option value=\"Zambia\" data-country-code=\"ZM\" >Zambia<\/option><option value=\"Zimbabwe\" data-country-code=\"ZW\" >Zimbabwe<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_6ab7113b62502\" id=\"forminator-field-phone-1_6ab7113b62502-label\" class=\"forminator-label\">Telephone Number:<\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-1_6ab7113b62502\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_6ab7113b62502\" id=\"forminator-field-email-1_6ab7113b62502-label\" class=\"forminator-label\">Email Address<\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"\" id=\"forminator-field-email-1_6ab7113b62502\" class=\"forminator-input forminator-email--field\" data-required=\"\" aria-required=\"false\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-5\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-5\"><p><strong>Section B: Nomination by third party<\/strong><\/p>\n<p><strong>Nominator information<\/strong><\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-4\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-4_6ab7113b62502\" id=\"forminator-field-name-4_6ab7113b62502-label\" class=\"forminator-label\">Last Name:<\/label><input type=\"text\" name=\"name-4\" value=\"\" placeholder=\"\" id=\"forminator-field-name-4_6ab7113b62502\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-5\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-5_6ab7113b62502\" id=\"forminator-field-name-5_6ab7113b62502-label\" class=\"forminator-label\">First Name:<\/label><input type=\"text\" name=\"name-5\" value=\"\" placeholder=\"\" id=\"forminator-field-name-5_6ab7113b62502\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-6\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-6_6ab7113b62502\" id=\"forminator-field-name-6_6ab7113b62502-label\" class=\"forminator-label\">Middle Initial:<\/label><input type=\"text\" name=\"name-6\" value=\"\" placeholder=\"\" id=\"forminator-field-name-6_6ab7113b62502\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_6ab7113b62502\" id=\"forminator-field-textarea-1_6ab7113b62502-label\" class=\"forminator-label\">Relationship between nominating party\/nominator and applicant:<\/label><textarea name=\"textarea-1\" placeholder=\"\" id=\"forminator-field-textarea-1_6ab7113b62502\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_6ab7113b62502\" id=\"forminator-field-text-2_6ab7113b62502-label\" class=\"forminator-label\">Position\/Title of Nominator:<\/label><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"\" id=\"forminator-field-text-2_6ab7113b62502\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-2\" class=\"forminator-field-address forminator-col forminator-col-12 \"><div class=\"forminator-row\"><div id=\"address-2-street_address\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-2-street_address_6ab7113b62502\" id=\"forminator-field-address-2-street_address_6ab7113b62502-label\" class=\"forminator-label\">Street Address<\/label><input type=\"text\" name=\"address-2-street_address\" placeholder=\"\" id=\"forminator-field-address-2-street_address_6ab7113b62502\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" autocomplete=\"address-line1\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-2-address_line\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-2-address_line_6ab7113b62502\" id=\"forminator-field-address-2-address_line_6ab7113b62502-label\" class=\"forminator-label\">Apartment, suite, etc<\/label><input type=\"text\" name=\"address-2-address_line\" placeholder=\"\" id=\"forminator-field-address-2-address_line_6ab7113b62502\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" autocomplete=\"address-line2\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"address-2-city\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-address-2-city_6ab7113b62502\" id=\"forminator-field-address-2-city_6ab7113b62502-label\" class=\"forminator-label\">City<\/label><input type=\"text\" name=\"address-2-city\" placeholder=\"\" id=\"forminator-field-address-2-city_6ab7113b62502\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" autocomplete=\"address-level2\" value=\"\" \/><\/div><\/div><div id=\"address-2-state\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-address-2-state_6ab7113b62502\" id=\"forminator-field-address-2-state_6ab7113b62502-label\" class=\"forminator-label\">State\/Province<\/label><input type=\"text\" name=\"address-2-state\" placeholder=\"\" id=\"forminator-field-address-2-state_6ab7113b62502\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" autocomplete=\"address-level1\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"address-2-zip\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-address-2-zip_6ab7113b62502\" id=\"forminator-field-address-2-zip_6ab7113b62502-label\" class=\"forminator-label\">ZIP \/ Postal code<\/label><input type=\"text\" name=\"address-2-zip\" placeholder=\"\" id=\"forminator-field-address-2-zip_6ab7113b62502\" class=\"forminator-input\" autocomplete=\"postal-code\" value=\"\" \/><\/div><\/div><div id=\"address-2-country\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-572__field--address-2-country_6ab7113b62502\" id=\"forminator-field-572__field--address-2-country_6ab7113b62502-label\" class=\"forminator-label\">Country<\/label><select name=\"address-2-country\" id=\"forminator-field-572__field--address-2-country_6ab7113b62502\" class=\"forminator-select2\" data-search=\"true\" data-placeholder=\"Select country\" autocomplete=\"country-name country\" data-default-value=\"\"><option value=\"\" data-country-code=\"\" selected=\"selected\"><\/option><option value=\"Afghanistan\" data-country-code=\"AF\" >Afghanistan<\/option><option value=\"Albania\" data-country-code=\"AL\" >Albania<\/option><option value=\"Algeria\" data-country-code=\"DZ\" >Algeria<\/option><option value=\"American Samoa\" data-country-code=\"AS\" >American Samoa<\/option><option value=\"Andorra\" data-country-code=\"AD\" >Andorra<\/option><option value=\"Angola\" data-country-code=\"AO\" >Angola<\/option><option value=\"Anguilla\" data-country-code=\"AI\" >Anguilla<\/option><option value=\"Antarctica\" data-country-code=\"AQ\" >Antarctica<\/option><option value=\"Antigua and Barbuda\" data-country-code=\"AG\" >Antigua and Barbuda<\/option><option value=\"Argentina\" data-country-code=\"AR\" >Argentina<\/option><option value=\"Armenia\" data-country-code=\"AM\" >Armenia<\/option><option value=\"Aruba\" data-country-code=\"AW\" >Aruba<\/option><option value=\"Australia\" data-country-code=\"AU\" >Australia<\/option><option value=\"Austria\" data-country-code=\"AT\" >Austria<\/option><option value=\"Azerbaijan\" data-country-code=\"AZ\" >Azerbaijan<\/option><option value=\"Bahamas\" data-country-code=\"BS\" >Bahamas<\/option><option value=\"Bahrain\" data-country-code=\"BH\" >Bahrain<\/option><option value=\"Bangladesh\" data-country-code=\"BD\" >Bangladesh<\/option><option value=\"Barbados\" data-country-code=\"BB\" >Barbados<\/option><option value=\"Belarus\" data-country-code=\"BY\" >Belarus<\/option><option value=\"Belgium\" data-country-code=\"BE\" >Belgium<\/option><option value=\"Belize\" data-country-code=\"BZ\" >Belize<\/option><option value=\"Benin\" data-country-code=\"BJ\" >Benin<\/option><option value=\"Bermuda\" data-country-code=\"BM\" >Bermuda<\/option><option value=\"Bhutan\" data-country-code=\"BT\" >Bhutan<\/option><option value=\"Bolivia\" data-country-code=\"BO\" >Bolivia<\/option><option value=\"Bosnia and Herzegovina\" data-country-code=\"BA\" >Bosnia and Herzegovina<\/option><option value=\"Botswana\" data-country-code=\"BW\" >Botswana<\/option><option value=\"Bouvet Island\" data-country-code=\"BV\" >Bouvet Island<\/option><option value=\"Brazil\" data-country-code=\"BR\" >Brazil<\/option><option value=\"British Indian Ocean Territory\" data-country-code=\"IO\" >British Indian Ocean Territory<\/option><option value=\"Brunei\" data-country-code=\"BN\" >Brunei<\/option><option value=\"Bulgaria\" data-country-code=\"BG\" >Bulgaria<\/option><option value=\"Burkina Faso\" data-country-code=\"BF\" >Burkina Faso<\/option><option value=\"Burundi\" data-country-code=\"BI\" >Burundi<\/option><option value=\"Cabo Verde\" data-country-code=\"CV\" >Cabo Verde<\/option><option value=\"Cambodia\" data-country-code=\"KH\" >Cambodia<\/option><option value=\"Cameroon\" data-country-code=\"CM\" >Cameroon<\/option><option value=\"Canada\" data-country-code=\"CA\" >Canada<\/option><option value=\"Cayman Islands\" data-country-code=\"KY\" >Cayman Islands<\/option><option value=\"Central African Republic\" data-country-code=\"CF\" >Central African Republic<\/option><option value=\"Chad\" data-country-code=\"TD\" >Chad<\/option><option value=\"Chile\" data-country-code=\"CL\" >Chile<\/option><option value=\"China, People's Republic of\" data-country-code=\"CN\" >China, People&#8217;s Republic of<\/option><option value=\"Christmas Island\" data-country-code=\"CX\" >Christmas Island<\/option><option value=\"Cocos Islands\" data-country-code=\"CC\" >Cocos Islands<\/option><option value=\"Colombia\" data-country-code=\"CO\" >Colombia<\/option><option value=\"Comoros\" data-country-code=\"KM\" >Comoros<\/option><option value=\"Congo, Democratic Republic of the\" data-country-code=\"CD\" >Congo, Democratic Republic of the<\/option><option value=\"Congo, Republic of the\" data-country-code=\"CG\" >Congo, Republic of the<\/option><option value=\"Cook Islands\" data-country-code=\"CK\" >Cook Islands<\/option><option value=\"Costa Rica\" data-country-code=\"CR\" >Costa Rica<\/option><option value=\"Croatia\" data-country-code=\"HR\" >Croatia<\/option><option value=\"Cuba\" data-country-code=\"CU\" >Cuba<\/option><option value=\"Cura\u00e7ao\" data-country-code=\"CW\" >Cura\u00e7ao<\/option><option value=\"Cyprus\" data-country-code=\"CY\" >Cyprus<\/option><option value=\"Czech Republic\" data-country-code=\"CZ\" >Czech Republic<\/option><option value=\"C\u00f4te d'Ivoire\" data-country-code=\"CI\" >C\u00f4te d&#8217;Ivoire<\/option><option value=\"Denmark\" data-country-code=\"DK\" >Denmark<\/option><option value=\"Djibouti\" data-country-code=\"DJ\" >Djibouti<\/option><option value=\"Dominica\" data-country-code=\"DM\" >Dominica<\/option><option value=\"Dominican Republic\" data-country-code=\"DO\" >Dominican Republic<\/option><option value=\"East Timor\" data-country-code=\"TL\" >East Timor<\/option><option value=\"Ecuador\" data-country-code=\"EC\" >Ecuador<\/option><option value=\"Egypt\" data-country-code=\"EG\" >Egypt<\/option><option value=\"El Salvador\" data-country-code=\"SV\" >El Salvador<\/option><option value=\"Equatorial Guinea\" data-country-code=\"GQ\" >Equatorial Guinea<\/option><option value=\"Eritrea\" data-country-code=\"ER\" >Eritrea<\/option><option value=\"Estonia\" data-country-code=\"EE\" >Estonia<\/option><option value=\"Ethiopia\" data-country-code=\"ET\" >Ethiopia<\/option><option value=\"Falkland Islands\" data-country-code=\"FK\" >Falkland Islands<\/option><option value=\"Faroe Islands\" data-country-code=\"FO\" >Faroe Islands<\/option><option value=\"Fiji\" data-country-code=\"FJ\" >Fiji<\/option><option value=\"Finland\" data-country-code=\"FI\" >Finland<\/option><option value=\"France\" data-country-code=\"FR\" >France<\/option><option value=\"France, Metropolitan\" data-country-code=\"FX\" >France, Metropolitan<\/option><option value=\"French Guiana\" data-country-code=\"GF\" >French Guiana<\/option><option value=\"French Polynesia\" data-country-code=\"PF\" >French Polynesia<\/option><option value=\"French South Territories\" data-country-code=\"TF\" >French South Territories<\/option><option value=\"Gabon\" data-country-code=\"GA\" >Gabon<\/option><option value=\"Gambia\" data-country-code=\"GM\" >Gambia<\/option><option value=\"Georgia\" data-country-code=\"GE\" >Georgia<\/option><option value=\"Germany\" data-country-code=\"DE\" >Germany<\/option><option value=\"Ghana\" data-country-code=\"GH\" >Ghana<\/option><option value=\"Gibraltar\" data-country-code=\"GI\" >Gibraltar<\/option><option value=\"Greece\" data-country-code=\"GR\" >Greece<\/option><option value=\"Greenland\" data-country-code=\"GL\" >Greenland<\/option><option value=\"Grenada\" data-country-code=\"GD\" >Grenada<\/option><option value=\"Guadeloupe\" data-country-code=\"GP\" >Guadeloupe<\/option><option value=\"Guam\" data-country-code=\"GU\" >Guam<\/option><option value=\"Guatemala\" data-country-code=\"GT\" >Guatemala<\/option><option value=\"Guernsey\" data-country-code=\"GG\" >Guernsey<\/option><option value=\"Guinea\" data-country-code=\"GN\" >Guinea<\/option><option value=\"Guinea-Bissau\" data-country-code=\"GW\" >Guinea-Bissau<\/option><option value=\"Guyana\" data-country-code=\"GY\" >Guyana<\/option><option value=\"Haiti\" data-country-code=\"HT\" >Haiti<\/option><option value=\"Heard Island And Mcdonald Island\" data-country-code=\"HM\" >Heard Island And Mcdonald Island<\/option><option value=\"Honduras\" data-country-code=\"HN\" >Honduras<\/option><option value=\"Hong Kong\" data-country-code=\"HK\" >Hong Kong<\/option><option value=\"Hungary\" data-country-code=\"HU\" >Hungary<\/option><option value=\"Iceland\" data-country-code=\"IS\" >Iceland<\/option><option value=\"India\" data-country-code=\"IN\" >India<\/option><option value=\"Indonesia\" data-country-code=\"ID\" >Indonesia<\/option><option value=\"Iran\" data-country-code=\"IR\" >Iran<\/option><option value=\"Iraq\" data-country-code=\"IQ\" >Iraq<\/option><option value=\"Ireland\" data-country-code=\"IE\" >Ireland<\/option><option value=\"Israel\" data-country-code=\"IL\" >Israel<\/option><option value=\"Italy\" data-country-code=\"IT\" >Italy<\/option><option value=\"Jamaica\" data-country-code=\"JM\" >Jamaica<\/option><option value=\"Japan\" data-country-code=\"JP\" >Japan<\/option><option value=\"Jersey\" data-country-code=\"JE\" >Jersey<\/option><option value=\"Johnston Island\" data-country-code=\"JT\" >Johnston Island<\/option><option value=\"Jordan\" data-country-code=\"JO\" >Jordan<\/option><option value=\"Kazakhstan\" data-country-code=\"KZ\" >Kazakhstan<\/option><option value=\"Kenya\" data-country-code=\"KE\" >Kenya<\/option><option value=\"Kiribati\" data-country-code=\"KI\" >Kiribati<\/option><option value=\"Korea, Democratic People's Republic of\" data-country-code=\"KP\" >Korea, Democratic People&#8217;s Republic of<\/option><option value=\"Korea, Republic of\" data-country-code=\"KR\" >Korea, Republic of<\/option><option value=\"Kosovo\" data-country-code=\"XK\" >Kosovo<\/option><option value=\"Kuwait\" data-country-code=\"KW\" >Kuwait<\/option><option value=\"Kyrgyzstan\" data-country-code=\"KG\" >Kyrgyzstan<\/option><option value=\"Lao People's Democratic Republic\" data-country-code=\"LA\" >Lao People&#8217;s Democratic Republic<\/option><option value=\"Latvia\" data-country-code=\"LV\" >Latvia<\/option><option value=\"Lebanon\" data-country-code=\"LB\" >Lebanon<\/option><option value=\"Lesotho\" data-country-code=\"LS\" >Lesotho<\/option><option value=\"Liberia\" data-country-code=\"LR\" >Liberia<\/option><option value=\"Libya\" data-country-code=\"LY\" >Libya<\/option><option value=\"Liechtenstein\" data-country-code=\"LI\" >Liechtenstein<\/option><option value=\"Lithuania\" data-country-code=\"LT\" >Lithuania<\/option><option value=\"Luxembourg\" data-country-code=\"LU\" >Luxembourg<\/option><option value=\"Macau\" data-country-code=\"MO\" >Macau<\/option><option value=\"Madagascar\" data-country-code=\"MG\" >Madagascar<\/option><option value=\"Malawi\" data-country-code=\"MW\" >Malawi<\/option><option value=\"Malaysia\" data-country-code=\"MY\" >Malaysia<\/option><option value=\"Maldives\" data-country-code=\"MV\" >Maldives<\/option><option value=\"Mali\" data-country-code=\"ML\" >Mali<\/option><option value=\"Malta\" data-country-code=\"MT\" >Malta<\/option><option value=\"Marshall Islands\" data-country-code=\"MH\" >Marshall Islands<\/option><option value=\"Martinique\" data-country-code=\"MQ\" >Martinique<\/option><option value=\"Mauritania\" data-country-code=\"MR\" >Mauritania<\/option><option value=\"Mauritius\" data-country-code=\"MU\" >Mauritius<\/option><option value=\"Mayotte\" data-country-code=\"YT\" >Mayotte<\/option><option value=\"Mexico\" data-country-code=\"MX\" >Mexico<\/option><option value=\"Micronesia\" data-country-code=\"FM\" >Micronesia<\/option><option value=\"Moldova\" data-country-code=\"MD\" >Moldova<\/option><option value=\"Monaco\" data-country-code=\"MC\" >Monaco<\/option><option value=\"Mongolia\" data-country-code=\"MN\" >Mongolia<\/option><option value=\"Montenegro\" data-country-code=\"ME\" >Montenegro<\/option><option value=\"Montserrat\" data-country-code=\"MS\" >Montserrat<\/option><option value=\"Morocco\" data-country-code=\"MA\" >Morocco<\/option><option value=\"Mozambique\" data-country-code=\"MZ\" >Mozambique<\/option><option value=\"Myanmar\" data-country-code=\"MM\" >Myanmar<\/option><option value=\"Namibia\" data-country-code=\"NA\" >Namibia<\/option><option value=\"Nauru\" data-country-code=\"NR\" >Nauru<\/option><option value=\"Nepal\" data-country-code=\"NP\" >Nepal<\/option><option value=\"Netherlands\" data-country-code=\"NL\" >Netherlands<\/option><option value=\"Netherlands Antilles\" data-country-code=\"AN\" >Netherlands Antilles<\/option><option value=\"New Caledonia\" data-country-code=\"NC\" >New Caledonia<\/option><option value=\"New Zealand\" data-country-code=\"NZ\" >New Zealand<\/option><option value=\"Nicaragua\" data-country-code=\"NI\" >Nicaragua<\/option><option value=\"Niger\" data-country-code=\"NE\" >Niger<\/option><option value=\"Nigeria\" data-country-code=\"NG\" >Nigeria<\/option><option value=\"Niue\" data-country-code=\"NU\" >Niue<\/option><option value=\"Norfolk Island\" data-country-code=\"NF\" >Norfolk Island<\/option><option value=\"North Macedonia\" data-country-code=\"MK\" >North Macedonia<\/option><option value=\"Northern Mariana Islands\" data-country-code=\"MP\" >Northern Mariana Islands<\/option><option value=\"Norway\" data-country-code=\"NO\" >Norway<\/option><option value=\"Oman\" data-country-code=\"OM\" >Oman<\/option><option value=\"Pakistan\" data-country-code=\"PK\" >Pakistan<\/option><option value=\"Palau\" data-country-code=\"PW\" >Palau<\/option><option value=\"Palestine, State of\" data-country-code=\"PS\" >Palestine, State of<\/option><option value=\"Panama\" data-country-code=\"PA\" >Panama<\/option><option value=\"Papua New Guinea\" data-country-code=\"PG\" >Papua New Guinea<\/option><option value=\"Paraguay\" data-country-code=\"PY\" >Paraguay<\/option><option value=\"Peru\" data-country-code=\"PE\" >Peru<\/option><option value=\"Philippines\" data-country-code=\"PH\" >Philippines<\/option><option value=\"Pitcairn Islands\" data-country-code=\"PN\" >Pitcairn Islands<\/option><option value=\"Poland\" data-country-code=\"PL\" >Poland<\/option><option value=\"Portugal\" data-country-code=\"PT\" >Portugal<\/option><option value=\"Puerto Rico\" data-country-code=\"PR\" >Puerto Rico<\/option><option value=\"Qatar\" data-country-code=\"QA\" >Qatar<\/option><option value=\"Reunion Island\" data-country-code=\"RE\" >Reunion Island<\/option><option value=\"Romania\" data-country-code=\"RO\" >Romania<\/option><option value=\"Russia\" data-country-code=\"RU\" >Russia<\/option><option value=\"Rwanda\" data-country-code=\"RW\" >Rwanda<\/option><option value=\"Saint Helena\" data-country-code=\"SH\" >Saint Helena<\/option><option value=\"Saint Kitts and Nevis\" data-country-code=\"KN\" >Saint Kitts and Nevis<\/option><option value=\"Saint Lucia\" data-country-code=\"LC\" >Saint Lucia<\/option><option value=\"Saint Pierre &#038; Miquelon\" data-country-code=\"PM\" >Saint Pierre &#038; Miquelon<\/option><option value=\"Saint Vincent and the Grenadines\" data-country-code=\"VC\" >Saint Vincent and the Grenadines<\/option><option value=\"Samoa\" data-country-code=\"WS\" >Samoa<\/option><option value=\"San Marino\" data-country-code=\"SM\" >San Marino<\/option><option value=\"Sao Tome and Principe\" data-country-code=\"ST\" >Sao Tome and Principe<\/option><option value=\"Saudi Arabia\" data-country-code=\"SA\" >Saudi Arabia<\/option><option value=\"Senegal\" data-country-code=\"SN\" >Senegal<\/option><option value=\"Serbia\" data-country-code=\"RS\" >Serbia<\/option><option value=\"Seychelles\" data-country-code=\"SC\" >Seychelles<\/option><option value=\"Sierra Leone\" data-country-code=\"SL\" >Sierra Leone<\/option><option value=\"Singapore\" data-country-code=\"SG\" >Singapore<\/option><option value=\"Sint Maarten\" data-country-code=\"MF\" >Sint Maarten<\/option><option value=\"Slovakia\" data-country-code=\"SK\" >Slovakia<\/option><option value=\"Slovenia\" data-country-code=\"SI\" >Slovenia<\/option><option value=\"Solomon Islands\" data-country-code=\"SB\" >Solomon Islands<\/option><option value=\"Somalia\" data-country-code=\"SO\" >Somalia<\/option><option value=\"South Africa\" data-country-code=\"ZA\" >South Africa<\/option><option value=\"South Georgia and South Sandwich\" data-country-code=\"GS\" >South Georgia and South Sandwich<\/option><option value=\"Spain\" data-country-code=\"ES\" >Spain<\/option><option value=\"Sri Lanka\" data-country-code=\"LK\" >Sri Lanka<\/option><option value=\"Stateless Persons\" data-country-code=\"XX\" >Stateless Persons<\/option><option value=\"Sudan\" data-country-code=\"SD\" >Sudan<\/option><option value=\"Sudan, South\" data-country-code=\"SS\" >Sudan, South<\/option><option value=\"Suriname\" data-country-code=\"SR\" >Suriname<\/option><option value=\"Svalbard and Jan Mayen\" data-country-code=\"SJ\" >Svalbard and Jan Mayen<\/option><option value=\"Swaziland\" data-country-code=\"SZ\" >Swaziland<\/option><option value=\"Sweden\" data-country-code=\"SE\" >Sweden<\/option><option value=\"Switzerland\" data-country-code=\"CH\" >Switzerland<\/option><option value=\"Syria\" data-country-code=\"SY\" >Syria<\/option><option value=\"Taiwan, Republic of China\" data-country-code=\"TW\" >Taiwan, Republic of China<\/option><option value=\"Tajikistan\" data-country-code=\"TJ\" >Tajikistan<\/option><option value=\"Tanzania\" data-country-code=\"TZ\" >Tanzania<\/option><option value=\"Thailand\" data-country-code=\"TH\" >Thailand<\/option><option value=\"Togo\" data-country-code=\"TG\" >Togo<\/option><option value=\"Tokelau\" data-country-code=\"TK\" >Tokelau<\/option><option value=\"Tonga\" data-country-code=\"TO\" >Tonga<\/option><option value=\"Trinidad and Tobago\" data-country-code=\"TT\" >Trinidad and Tobago<\/option><option value=\"Tunisia\" data-country-code=\"TN\" >Tunisia<\/option><option value=\"Turkey\" data-country-code=\"TR\" >Turkey<\/option><option value=\"Turkmenistan\" data-country-code=\"TM\" >Turkmenistan<\/option><option value=\"Turks And Caicos Islands\" data-country-code=\"TC\" >Turks And Caicos Islands<\/option><option value=\"Tuvalu\" data-country-code=\"TV\" >Tuvalu<\/option><option value=\"US Minor Outlying Islands\" data-country-code=\"UM\" >US Minor Outlying Islands<\/option><option value=\"Uganda\" data-country-code=\"UG\" >Uganda<\/option><option value=\"Ukraine\" data-country-code=\"UA\" >Ukraine<\/option><option value=\"United Arab Emirates\" data-country-code=\"AE\" >United Arab Emirates<\/option><option value=\"United Kingdom\" data-country-code=\"GB\" >United Kingdom<\/option><option value=\"United States of America (USA)\" data-country-code=\"US\" >United States of America (USA)<\/option><option value=\"Uruguay\" data-country-code=\"UY\" >Uruguay<\/option><option value=\"Uzbekistan\" data-country-code=\"UZ\" >Uzbekistan<\/option><option value=\"Vanuatu\" data-country-code=\"VU\" >Vanuatu<\/option><option value=\"Vatican City\" data-country-code=\"VA\" >Vatican City<\/option><option value=\"Venezuela\" data-country-code=\"VE\" >Venezuela<\/option><option value=\"Vietnam\" data-country-code=\"VN\" >Vietnam<\/option><option value=\"Virgin Islands, British\" data-country-code=\"VG\" >Virgin Islands, British<\/option><option value=\"Virgin Islands, U.S.\" data-country-code=\"VI\" >Virgin Islands, U.S.<\/option><option value=\"Wallis And Futuna Islands\" data-country-code=\"WF\" >Wallis And Futuna Islands<\/option><option value=\"Western Sahara\" data-country-code=\"EH\" >Western Sahara<\/option><option value=\"Yemen\" data-country-code=\"YE\" >Yemen<\/option><option value=\"Zambia\" data-country-code=\"ZM\" >Zambia<\/option><option value=\"Zimbabwe\" data-country-code=\"ZW\" >Zimbabwe<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-2\" class=\"forminator-field-phone forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-2_6ab7113b62502\" id=\"forminator-field-phone-2_6ab7113b62502-label\" class=\"forminator-label\">Telephone Number:<\/label><input type=\"text\" name=\"phone-2\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-2_6ab7113b62502\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-2\" class=\"forminator-field-email forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-2_6ab7113b62502\" id=\"forminator-field-email-2_6ab7113b62502-label\" class=\"forminator-label\">Email Address<\/label><input type=\"email\" name=\"email-2\" value=\"\" placeholder=\"\" id=\"forminator-field-email-2_6ab7113b62502\" class=\"forminator-input forminator-email--field\" data-required=\"\" aria-required=\"false\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-6\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-6\"><p><strong>Part 3: Description of Activity<\/strong><\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-2\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-2_6ab7113b62502\" id=\"forminator-field-textarea-2_6ab7113b62502-label\" class=\"forminator-label\">1. Website \/ Social Media Links<\/label><textarea name=\"textarea-2\" placeholder=\"\" id=\"forminator-field-textarea-2_6ab7113b62502\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-3\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-3_6ab7113b62502\" id=\"forminator-field-textarea-3_6ab7113b62502-label\" class=\"forminator-label\">2. Provide a title for your environmental activity (maximum 10 words)<\/label><textarea name=\"textarea-3\" placeholder=\"\" id=\"forminator-field-textarea-3_6ab7113b62502\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-4\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-4_6ab7113b62502\" id=\"forminator-field-textarea-4_6ab7113b62502-label\" class=\"forminator-label\">3. Background:<\/label><textarea name=\"textarea-4\" placeholder=\"\u202fPlease explain why and how your company has decided to address sustainability within the organisation or through its products\/services. Please include a brief profile of your company\u2019s environmental footprint, and a description of what the biggest environmental challenges facing your company are, and\/or what the biggest challenges are for the sector your company is providing products\/services for. (500 words maximum)\" id=\"forminator-field-textarea-4_6ab7113b62502\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-5\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-5_6ab7113b62502\" id=\"forminator-field-textarea-5_6ab7113b62502-label\" class=\"forminator-label\">4. Governance and reporting:<\/label><textarea name=\"textarea-5\" placeholder=\"Please explain how governance practices within the organisation are being used to bring sustainability to the forefront of business practice, and how the environmental footprint of the organisation is gathered, reported on, and used to drive further sustainability plans. (300 words maximum)\" id=\"forminator-field-textarea-5_6ab7113b62502\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-6\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-6_6ab7113b62502\" id=\"forminator-field-textarea-6_6ab7113b62502-label\" class=\"forminator-label\">5. Innovation:<\/label><textarea name=\"textarea-6\" placeholder=\"Businesses face different sustainability challenges, both in terms of resourcing and market share. Please outline how, your business is innovating to ensure your own internal sustainability goals are reached, or to ensure your products\/services can have maximum impact on other\u2019s sustainability goals. (250 words)\" id=\"forminator-field-textarea-6_6ab7113b62502\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-7\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-7_6ab7113b62502\" id=\"forminator-field-textarea-7_6ab7113b62502-label\" class=\"forminator-label\">6. Key Projects:<\/label><textarea name=\"textarea-7\" placeholder=\"Please outline any project(s) that has taken place (or continued) within the adjudication period that demonstrates the work being done on environmental sustainability in your organisation. These can be internal projects that demonstrate the efforts to reduce the organisation\u2019s environmental footprint, and\/or products\/services provided by the company that are helping customers reduce their environmental footprints. Please include any relevant data to support your claims. (350 words)\" id=\"forminator-field-textarea-7_6ab7113b62502\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-8\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-8_6ab7113b62502\" id=\"forminator-field-textarea-8_6ab7113b62502-label\" class=\"forminator-label\">7. Outcomes and impacts:<\/label><textarea name=\"textarea-8\" placeholder=\"Please outline any positive outcomes or measurable impacts from the company\u2019s overall sustainability efforts. Please include data, graphs, testimony or any other relevant information that demonstrates the measurable sustainability outcomes of your company\u2019s internal efforts or products or services (carbon emissions, water usage, waste volumes etc). Data from previous years can be included to demonstrate progress, as long as data from the adjudication period is also included. Please ensure any data around carbon intensity improvements is also accompanied by total emissions data. Please ensure any emissions offsets programmes are dealt with separately to actual emissions reductions. (300 words)\" id=\"forminator-field-textarea-8_6ab7113b62502\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-9\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-9_6ab7113b62502\" id=\"forminator-field-textarea-9_6ab7113b62502-label\" class=\"forminator-label\">8. Industry leadership:<\/label><textarea name=\"textarea-9\" placeholder=\"Please outline how your company has provided leadership in your industry\/sector\/community on sustainability. This can include initiatives to support others in your sector in their sustainability journeys through partnerships, research or any other pooled efforts. It can also include efforts to ensure your company\u2019s suppliers are also reducing their environmental footrprint, or efforts to support your local community in furthering sustainability. Any other examples of leadership by your organisation are also welcome. (250 words)\" id=\"forminator-field-textarea-9_6ab7113b62502\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-10\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-10_6ab7113b62502\" id=\"forminator-field-textarea-10_6ab7113b62502-label\" class=\"forminator-label\">9. Plans for the future:<\/label><textarea name=\"textarea-10\" placeholder=\"Please outline your company\u2019s medium\/long term plans for addressing sustainability, highlighting any ambitions or clear goals that have been set by the organisation, and citing any clear roadmaps being used by the company to achieve these goals. Please ensure any targets (50 per cent reduction in emissions etc) are accompanied by the relevant baseline year. (200 words)\" id=\"forminator-field-textarea-10_6ab7113b62502\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-11\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-11_6ab7113b62502\" id=\"forminator-field-textarea-11_6ab7113b62502-label\" class=\"forminator-label\">10. Environmental impact or benefits<\/label><textarea name=\"textarea-11\" placeholder=\"Describe the tangible benefits your program or activity creates for the environment and include quantitative and qualitative results. Please also describe the health benefits to that have resulted from your program or activity, if applicable. Please provide detail: (300 words)\" id=\"forminator-field-textarea-11_6ab7113b62502\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-12\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-12_6ab7113b62502\" id=\"forminator-field-textarea-12_6ab7113b62502-label\" class=\"forminator-label\">11. Fostering behaviour change<\/label><textarea name=\"textarea-12\" placeholder=\"How does your program or activity promote positive behaviour change in others? Does it include any of the following: outreach, education or social marketing? If so, please provide detail. The government is interested in details of how your program or activity fosters knowledge, values. (250 words)\" id=\"forminator-field-textarea-12_6ab7113b62502\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-13\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-13_6ab7113b62502\" id=\"forminator-field-textarea-13_6ab7113b62502-label\" class=\"forminator-label\">12. or behaviour change through innovation, promotion, or outreach, etc. that leads to an environmental benefit. (250 words)<\/label><textarea name=\"textarea-13\" placeholder=\"\" id=\"forminator-field-textarea-13_6ab7113b62502\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-14\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-14_6ab7113b62502\" id=\"forminator-field-textarea-14_6ab7113b62502-label\" class=\"forminator-label\">13. Transferability and scalability<\/label><textarea name=\"textarea-14\" placeholder=\"Does your project or activity have the potential to be used on a wider scale by others? How? Please explain. (250 words)\" id=\"forminator-field-textarea-14_6ab7113b62502\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-15\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-15_6ab7113b62502\" id=\"forminator-field-textarea-15_6ab7113b62502-label\" class=\"forminator-label\">14. Please provide supporting materials, these could include links to newspaper articles, audio visual, certificates of recognition, photographs, websites, etc. If submitting supporting materials as attachments, please list them here and then email them directly.<\/label><textarea name=\"textarea-15\" placeholder=\"\" id=\"forminator-field-textarea-15_6ab7113b62502\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-1\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-1_6ab7113b62502\" id=\"forminator-field-upload-1_6ab7113b62502-label\" class=\"forminator-label\">Upload file<\/label><div class=\"forminator-file-upload \" data-element=\"upload-1_6ab7113b62502\"><input type=\"file\" name=\"upload-1\" id=\"forminator-field-upload-1_6ab7113b62502\" class=\"forminator-input-file\" accept=\".jpg,.jpeg,.jpe,.gif,.png,.bmp,.tiff,.tif,.webp,.avif,.ico,.heic,.heif,.heics,.heifs,.asf,.asx,.wmv,.wmx,.wm,.avi,.divx,.flv,.mov,.qt,.mpeg,.mpg,.mpe,.mp4,.m4v,.ogv,.webm,.mkv,.3gp,.3gpp,.3g2,.3gp2,.txt,.asc,.c,.cc,.h,.srt,.csv,.tsv,.ics,.rtx,.vtt,.mp3,.m4a,.m4b,.aac,.ra,.ram,.wav,.x-wav,.ogg,.oga,.flac,.mid,.midi,.wma,.wax,.mka,.rtf,.pdf,.class,.tar,.zip,.gz,.gzip,.7z,.psd,.xcf,.doc,.pot,.pps,.ppt,.wri,.xla,.xls,.xlt,.xlw,.mdb,.mpp,.docx,.docm,.dotx,.dotm,.xlsx,.xlsm,.xlsb,.xltx,.xltm,.xlam,.pptx,.pptm,.ppsx,.ppsm,.potx,.potm,.ppam,.sldx,.sldm,.onetoc,.onetoc2,.onetmp,.onepkg,.oxps,.xps,.odt,.odp,.ods,.odg,.odc,.odb,.odf,.wp,.wpd,.key,.numbers,.pages\" tabindex=\"-1\"><button id=\"forminator-field-upload-1_6ab7113b62502_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-1_6ab7113b62502\">Choose File<\/button><span data-empty-text=\"No file chosen\">No file chosen<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Delete uploaded file<\/span><\/button><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-7\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-7\"><p><strong>Part D General Information<\/strong><\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_6ab7113b62502\" id=\"forminator-field-text-3_6ab7113b62502-label\" class=\"forminator-label\">How did you find out about this awards program?<\/label><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"\" id=\"forminator-field-text-3_6ab7113b62502\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-2\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-2-6ab7113b62502-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-2-6ab7113b62502-label\" class=\"forminator-label\">DECLARATION:<\/span><label id=\"forminator-field-checkbox-2-1-6ab7113b62502-label\" for=\"forminator-field-checkbox-2-1-6ab7113b62502\" class=\"forminator-checkbox\" title=\"I confirm that my application is correct to the best of my ability and will agree to provide further details if requested as part of the judging process.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"I confirm that my application is correct to the best of my ability and will agree to provide further details if requested as part of the judging process.\" id=\"forminator-field-checkbox-2-1-6ab7113b62502\" aria-labelledby=\"forminator-field-checkbox-2-1-6ab7113b62502-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I confirm that my application is correct to the best of my ability and will agree to provide further details if requested as part of the judging process.<\/span><\/label><label id=\"forminator-field-checkbox-2-2-6ab7113b62502-label\" for=\"forminator-field-checkbox-2-2-6ab7113b62502\" class=\"forminator-checkbox\" title=\"I am aware that it is my responsibility to seek any approval\/permissions to submit this application from my company.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"I am aware that it is my responsibility to seek any approval\/permissions to submit this application from my company.\" id=\"forminator-field-checkbox-2-2-6ab7113b62502\" aria-labelledby=\"forminator-field-checkbox-2-2-6ab7113b62502-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I am aware that it is my responsibility to seek any approval\/permissions to submit this application from my company.<\/span><\/label><label id=\"forminator-field-checkbox-2-3-6ab7113b62502-label\" for=\"forminator-field-checkbox-2-3-6ab7113b62502\" class=\"forminator-checkbox\" title=\"I am aware that, if shortlisted, the information contained within this form may be used to promote my participation in this awards scheme.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"I am aware that, if shortlisted, the information contained within this form may be used to promote my participation in this awards scheme.\" id=\"forminator-field-checkbox-2-3-6ab7113b62502\" aria-labelledby=\"forminator-field-checkbox-2-3-6ab7113b62502-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I am aware that, if shortlisted, the information contained within this form may be used to promote my participation in this awards scheme.<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_6ab7113b62502\" id=\"forminator-field-text-4_6ab7113b62502-label\" class=\"forminator-label\">Nominee\/ Nominator signature:<\/label><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"\" id=\"forminator-field-text-4_6ab7113b62502\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_6ab7113b62502\" id=\"forminator-field-text-5_6ab7113b62502-label\" class=\"forminator-label\">Date:<\/label><input type=\"text\" name=\"text-5\" value=\"\" placeholder=\"\" id=\"forminator-field-text-5_6ab7113b62502\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Submit<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"187b9d5c8f\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F223\" \/><input type=\"hidden\" name=\"form_id\" value=\"572\"><input type=\"hidden\" name=\"page_id\" value=\"223\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/temvelo.co.za\/?page_id=223\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center alignfull has-nv-site-bg-color has-text-color has-background has-link-color wp-elements-13\" style=\"background-color:#1b9f00\">Sustainable EPWP Category Entry Form<\/h2>\n\n\n\n<div class=\"forminator-guttenberg\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-575 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-575\" data-uid=\"6ab7113b680d4\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-575\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-575 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"575\"\n\t\t\t\tenctype=\"multipart\/form-data\" data-color-option=\"theme\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"6ab7113b680d4\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"html-1\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-1\"><p><strong>Temvelo Awards Application\/ Nomination Form<\/strong><\/p>\n<p>The awards will shine a light on and reward the achievements of who do their bit to sustain the environment. The Environment Awards acknowledge, recognize and honour businesses, organizations, communities and individuals who have demonstrated exceptional environmental stewardship by dedicating themselves and their talents to the protection of the environment and promotion of its love. The measuring scale to be used in the selection of these entities shall be submission of motivation by the individuals and entities &nbsp;&nbsp;as well as the public opinion.&nbsp; The awarding program provides competition and incentives to expand and improve efforts directed towards environmental protection and Climate Action.<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-2\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-2\"><p><strong>The objectives of the awards are to:<\/strong><\/p>\n<ul>\n<li>To reward individuals, companies and organizations for their outstanding efforts in the protection of the environment<\/li>\n<li>To improve environmental performance<\/li>\n<li>To encourage the efficient use of resources.<\/li>\n<li>To enhance the competitiveness of organisations.<\/li>\n<li>To support the wider goals of environmental sustainability, including social benefits through community and staff involvement.<\/li>\n<li>Stimulate Award winners to sustain their dedicated work, raise their profile, extend their professional network and strengthen their scope of work<\/li>\n<\/ul><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-3\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-3\"><p><strong>Sustainable EPWP<\/strong><\/p>\n<p><strong>Please tick the category you are applying for:<\/strong><\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-6ab7113b680d4-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-1-6ab7113b680d4-label\" class=\"forminator-label\">Categories<\/span><label id=\"forminator-field-checkbox-1-1-6ab7113b680d4-label\" for=\"forminator-field-checkbox-1-1-6ab7113b680d4\" class=\"forminator-checkbox\" title=\"1.\tEnvironmental Leadership Award : This award recognises an individual who has shown exceptional leadership in promoting environmental conservation, sustainable land management, or cultural preservation. Their actions align with EPWP\u2019s environmental goals by initiating or guiding projects that contribute to ecological restoration, heritage protection, or green tourism. Through their leadership, they inspire collective action and foster a culture of responsibility in line with EPWP\u2019s developmental intent.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"1.\tEnvironmental Leadership Award : This award recognises an individual who has shown exceptional leadership in promoting environmental conservation, sustainable land management, or cultural preservation. Their actions align with EPWP\u2019s environmental goals by initiating or guiding projects that contribute to ecological restoration, heritage protection, or green tourism. Through their leadership, they inspire collective action and foster a culture of responsibility in line with EPWP\u2019s developmental intent.\" id=\"forminator-field-checkbox-1-1-6ab7113b680d4\" aria-labelledby=\"forminator-field-checkbox-1-1-6ab7113b680d4-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">1.\tEnvironmental Leadership Award : This award recognises an individual who has shown exceptional leadership in promoting environmental conservation, sustainable land management, or cultural preservation. Their actions align with EPWP\u2019s environmental goals by initiating or guiding projects that contribute to ecological restoration, heritage protection, or green tourism. Through their leadership, they inspire collective action and foster a culture of responsibility in line with EPWP\u2019s developmental intent.<\/span><\/label><label id=\"forminator-field-checkbox-1-2-6ab7113b680d4-label\" for=\"forminator-field-checkbox-1-2-6ab7113b680d4\" class=\"forminator-checkbox\" title=\"2.\tCommunity Environmental Services Award: This category celebrates innovative community-driven services that promote environmental awareness, climate resilience, and social wellbeing. It recognises projects that integrate environmental objectives within social programmes such as early childhood development, home-based care, and community outreach. These projects not only provide essential public services but also empower communities to adopt sustainable lifestyles and protect their local environments.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"2.\tCommunity Environmental Services Award: This category celebrates innovative community-driven services that promote environmental awareness, climate resilience, and social wellbeing. It recognises projects that integrate environmental objectives within social programmes such as early childhood development, home-based care, and community outreach. These projects not only provide essential public services but also empower communities to adopt sustainable lifestyles and protect their local environments.\" id=\"forminator-field-checkbox-1-2-6ab7113b680d4\" aria-labelledby=\"forminator-field-checkbox-1-2-6ab7113b680d4-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">2.\tCommunity Environmental Services Award: This category celebrates innovative community-driven services that promote environmental awareness, climate resilience, and social wellbeing. It recognises projects that integrate environmental objectives within social programmes such as early childhood development, home-based care, and community outreach. These projects not only provide essential public services but also empower communities to adopt sustainable lifestyles and protect their local environments.<\/span><\/label><label id=\"forminator-field-checkbox-1-3-6ab7113b680d4-label\" for=\"forminator-field-checkbox-1-3-6ab7113b680d4\" class=\"forminator-checkbox\" title=\"3.\tEnvironmental Stewardship and Culture Award: This award honours individuals, organisations, or projects that have made significant contributions to conserving natural resources, preserving cultural heritage, and promoting sustainable tourism. Whether through land rehabilitation, waste management, or the safeguarding of cultural assets, recipients of this award embody the spirit of environmental stewardship and uphold traditional knowledge and cultural pride as a foundation for sustainability.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"3.\tEnvironmental Stewardship and Culture Award: This award honours individuals, organisations, or projects that have made significant contributions to conserving natural resources, preserving cultural heritage, and promoting sustainable tourism. Whether through land rehabilitation, waste management, or the safeguarding of cultural assets, recipients of this award embody the spirit of environmental stewardship and uphold traditional knowledge and cultural pride as a foundation for sustainability.\" id=\"forminator-field-checkbox-1-3-6ab7113b680d4\" aria-labelledby=\"forminator-field-checkbox-1-3-6ab7113b680d4-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">3.\tEnvironmental Stewardship and Culture Award: This award honours individuals, organisations, or projects that have made significant contributions to conserving natural resources, preserving cultural heritage, and promoting sustainable tourism. Whether through land rehabilitation, waste management, or the safeguarding of cultural assets, recipients of this award embody the spirit of environmental stewardship and uphold traditional knowledge and cultural pride as a foundation for sustainability.<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-4\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-4\"><p><strong>Part A: Eligibility<\/strong><\/p>\n<p><strong>All Applicants:<\/strong><\/p>\n<p>To be eligible you must be one of the following:<\/p>\n<p>The program or activity must be undertaken in in the Province<\/p>\n<p>The program or activity has been undertaken in the last three years<\/p>\n<p><strong>Individual Applicants Only:<\/strong><\/p>\n<p>For individuals, in addition to the above, all the following criteria must be met to be eligible. Please confirm that all the following are true.<\/p>\n<p>The applicant is a resident of the Province<\/p>\n<p>The applicant is a South African citizen or permanent resident of South Africa<\/p>\n<p><strong>Part B: Contact Information<\/strong><\/p>\n<p><strong>Section A: Applicant\/Nominee Information<\/strong><\/p>\n<p>(If more than one applicant\/organization is involved in this application please provide detail)<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_6ab7113b680d4\" id=\"forminator-field-name-1_6ab7113b680d4-label\" class=\"forminator-label\">Last Name:<\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"\" id=\"forminator-field-name-1_6ab7113b680d4\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-2\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-2_6ab7113b680d4\" id=\"forminator-field-name-2_6ab7113b680d4-label\" class=\"forminator-label\">First Name:<\/label><input type=\"text\" name=\"name-2\" value=\"\" placeholder=\"\" id=\"forminator-field-name-2_6ab7113b680d4\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-3\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-3_6ab7113b680d4\" id=\"forminator-field-name-3_6ab7113b680d4-label\" class=\"forminator-label\">Middle Initial:<\/label><input type=\"text\" name=\"name-3\" value=\"\" placeholder=\"\" id=\"forminator-field-name-3_6ab7113b680d4\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_6ab7113b680d4\" id=\"forminator-field-text-1_6ab7113b680d4-label\" class=\"forminator-label\">Organization:<\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"\" id=\"forminator-field-text-1_6ab7113b680d4\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-1\" class=\"forminator-field-address forminator-col forminator-col-12 \"><div class=\"forminator-row\"><div id=\"address-1-street_address\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-street_address_6ab7113b680d4\" id=\"forminator-field-address-1-street_address_6ab7113b680d4-label\" class=\"forminator-label\">Street Address<\/label><input type=\"text\" name=\"address-1-street_address\" placeholder=\"\" id=\"forminator-field-address-1-street_address_6ab7113b680d4\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" autocomplete=\"address-line1\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-1-address_line\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-address_line_6ab7113b680d4\" id=\"forminator-field-address-1-address_line_6ab7113b680d4-label\" class=\"forminator-label\">Apartment, suite, etc<\/label><input type=\"text\" name=\"address-1-address_line\" placeholder=\"\" id=\"forminator-field-address-1-address_line_6ab7113b680d4\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" autocomplete=\"address-line2\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"address-1-city\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-city_6ab7113b680d4\" id=\"forminator-field-address-1-city_6ab7113b680d4-label\" class=\"forminator-label\">City<\/label><input type=\"text\" name=\"address-1-city\" placeholder=\"\" id=\"forminator-field-address-1-city_6ab7113b680d4\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" autocomplete=\"address-level2\" value=\"\" \/><\/div><\/div><div id=\"address-1-state\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-state_6ab7113b680d4\" id=\"forminator-field-address-1-state_6ab7113b680d4-label\" class=\"forminator-label\">State\/Province<\/label><input type=\"text\" name=\"address-1-state\" placeholder=\"\" id=\"forminator-field-address-1-state_6ab7113b680d4\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" autocomplete=\"address-level1\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"address-1-zip\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-zip_6ab7113b680d4\" id=\"forminator-field-address-1-zip_6ab7113b680d4-label\" class=\"forminator-label\">ZIP \/ Postal code<\/label><input type=\"text\" name=\"address-1-zip\" placeholder=\"\" id=\"forminator-field-address-1-zip_6ab7113b680d4\" class=\"forminator-input\" autocomplete=\"postal-code\" value=\"\" \/><\/div><\/div><div id=\"address-1-country\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-575__field--address-1-country_6ab7113b680d4\" id=\"forminator-field-575__field--address-1-country_6ab7113b680d4-label\" class=\"forminator-label\">Country<\/label><select name=\"address-1-country\" id=\"forminator-field-575__field--address-1-country_6ab7113b680d4\" class=\"forminator-select2\" data-search=\"true\" data-placeholder=\"Select country\" autocomplete=\"country-name country\" data-default-value=\"\"><option value=\"\" data-country-code=\"\" selected=\"selected\"><\/option><option value=\"Afghanistan\" data-country-code=\"AF\" >Afghanistan<\/option><option value=\"Albania\" data-country-code=\"AL\" >Albania<\/option><option value=\"Algeria\" data-country-code=\"DZ\" >Algeria<\/option><option value=\"American Samoa\" data-country-code=\"AS\" >American Samoa<\/option><option value=\"Andorra\" data-country-code=\"AD\" >Andorra<\/option><option value=\"Angola\" data-country-code=\"AO\" >Angola<\/option><option value=\"Anguilla\" data-country-code=\"AI\" >Anguilla<\/option><option value=\"Antarctica\" data-country-code=\"AQ\" >Antarctica<\/option><option value=\"Antigua and Barbuda\" data-country-code=\"AG\" >Antigua and Barbuda<\/option><option value=\"Argentina\" data-country-code=\"AR\" >Argentina<\/option><option value=\"Armenia\" data-country-code=\"AM\" >Armenia<\/option><option value=\"Aruba\" data-country-code=\"AW\" >Aruba<\/option><option value=\"Australia\" data-country-code=\"AU\" >Australia<\/option><option value=\"Austria\" data-country-code=\"AT\" >Austria<\/option><option value=\"Azerbaijan\" data-country-code=\"AZ\" >Azerbaijan<\/option><option value=\"Bahamas\" data-country-code=\"BS\" >Bahamas<\/option><option value=\"Bahrain\" data-country-code=\"BH\" >Bahrain<\/option><option value=\"Bangladesh\" data-country-code=\"BD\" >Bangladesh<\/option><option value=\"Barbados\" data-country-code=\"BB\" >Barbados<\/option><option value=\"Belarus\" data-country-code=\"BY\" >Belarus<\/option><option value=\"Belgium\" data-country-code=\"BE\" >Belgium<\/option><option value=\"Belize\" data-country-code=\"BZ\" >Belize<\/option><option value=\"Benin\" data-country-code=\"BJ\" >Benin<\/option><option value=\"Bermuda\" data-country-code=\"BM\" >Bermuda<\/option><option value=\"Bhutan\" data-country-code=\"BT\" >Bhutan<\/option><option value=\"Bolivia\" data-country-code=\"BO\" >Bolivia<\/option><option value=\"Bosnia and Herzegovina\" data-country-code=\"BA\" >Bosnia and Herzegovina<\/option><option value=\"Botswana\" data-country-code=\"BW\" >Botswana<\/option><option value=\"Bouvet Island\" data-country-code=\"BV\" >Bouvet Island<\/option><option value=\"Brazil\" data-country-code=\"BR\" >Brazil<\/option><option value=\"British Indian Ocean Territory\" data-country-code=\"IO\" >British Indian Ocean Territory<\/option><option value=\"Brunei\" data-country-code=\"BN\" >Brunei<\/option><option value=\"Bulgaria\" data-country-code=\"BG\" >Bulgaria<\/option><option value=\"Burkina Faso\" data-country-code=\"BF\" >Burkina Faso<\/option><option value=\"Burundi\" data-country-code=\"BI\" >Burundi<\/option><option value=\"Cabo Verde\" data-country-code=\"CV\" >Cabo Verde<\/option><option value=\"Cambodia\" data-country-code=\"KH\" >Cambodia<\/option><option value=\"Cameroon\" data-country-code=\"CM\" >Cameroon<\/option><option value=\"Canada\" data-country-code=\"CA\" >Canada<\/option><option value=\"Cayman Islands\" data-country-code=\"KY\" >Cayman Islands<\/option><option value=\"Central African Republic\" data-country-code=\"CF\" >Central African Republic<\/option><option value=\"Chad\" data-country-code=\"TD\" >Chad<\/option><option value=\"Chile\" data-country-code=\"CL\" >Chile<\/option><option value=\"China, People's Republic of\" data-country-code=\"CN\" >China, People&#8217;s Republic of<\/option><option value=\"Christmas Island\" data-country-code=\"CX\" >Christmas Island<\/option><option value=\"Cocos Islands\" data-country-code=\"CC\" >Cocos Islands<\/option><option value=\"Colombia\" data-country-code=\"CO\" >Colombia<\/option><option value=\"Comoros\" data-country-code=\"KM\" >Comoros<\/option><option value=\"Congo, Democratic Republic of the\" data-country-code=\"CD\" >Congo, Democratic Republic of the<\/option><option value=\"Congo, Republic of the\" data-country-code=\"CG\" >Congo, Republic of the<\/option><option value=\"Cook Islands\" data-country-code=\"CK\" >Cook Islands<\/option><option value=\"Costa Rica\" data-country-code=\"CR\" >Costa Rica<\/option><option value=\"Croatia\" data-country-code=\"HR\" >Croatia<\/option><option value=\"Cuba\" data-country-code=\"CU\" >Cuba<\/option><option value=\"Cura\u00e7ao\" data-country-code=\"CW\" >Cura\u00e7ao<\/option><option value=\"Cyprus\" data-country-code=\"CY\" >Cyprus<\/option><option value=\"Czech Republic\" data-country-code=\"CZ\" >Czech Republic<\/option><option value=\"C\u00f4te d'Ivoire\" data-country-code=\"CI\" >C\u00f4te d&#8217;Ivoire<\/option><option value=\"Denmark\" data-country-code=\"DK\" >Denmark<\/option><option value=\"Djibouti\" data-country-code=\"DJ\" >Djibouti<\/option><option value=\"Dominica\" data-country-code=\"DM\" >Dominica<\/option><option value=\"Dominican Republic\" data-country-code=\"DO\" >Dominican Republic<\/option><option value=\"East Timor\" data-country-code=\"TL\" >East Timor<\/option><option value=\"Ecuador\" data-country-code=\"EC\" >Ecuador<\/option><option value=\"Egypt\" data-country-code=\"EG\" >Egypt<\/option><option value=\"El Salvador\" data-country-code=\"SV\" >El Salvador<\/option><option value=\"Equatorial Guinea\" data-country-code=\"GQ\" >Equatorial Guinea<\/option><option value=\"Eritrea\" data-country-code=\"ER\" >Eritrea<\/option><option value=\"Estonia\" data-country-code=\"EE\" >Estonia<\/option><option value=\"Ethiopia\" data-country-code=\"ET\" >Ethiopia<\/option><option value=\"Falkland Islands\" data-country-code=\"FK\" >Falkland Islands<\/option><option value=\"Faroe Islands\" data-country-code=\"FO\" >Faroe Islands<\/option><option value=\"Fiji\" data-country-code=\"FJ\" >Fiji<\/option><option value=\"Finland\" data-country-code=\"FI\" >Finland<\/option><option value=\"France\" data-country-code=\"FR\" >France<\/option><option value=\"France, Metropolitan\" data-country-code=\"FX\" >France, Metropolitan<\/option><option value=\"French Guiana\" data-country-code=\"GF\" >French Guiana<\/option><option value=\"French Polynesia\" data-country-code=\"PF\" >French Polynesia<\/option><option value=\"French South Territories\" data-country-code=\"TF\" >French South Territories<\/option><option value=\"Gabon\" data-country-code=\"GA\" >Gabon<\/option><option value=\"Gambia\" data-country-code=\"GM\" >Gambia<\/option><option value=\"Georgia\" data-country-code=\"GE\" >Georgia<\/option><option value=\"Germany\" data-country-code=\"DE\" >Germany<\/option><option value=\"Ghana\" data-country-code=\"GH\" >Ghana<\/option><option value=\"Gibraltar\" data-country-code=\"GI\" >Gibraltar<\/option><option value=\"Greece\" data-country-code=\"GR\" >Greece<\/option><option value=\"Greenland\" data-country-code=\"GL\" >Greenland<\/option><option value=\"Grenada\" data-country-code=\"GD\" >Grenada<\/option><option value=\"Guadeloupe\" data-country-code=\"GP\" >Guadeloupe<\/option><option value=\"Guam\" data-country-code=\"GU\" >Guam<\/option><option value=\"Guatemala\" data-country-code=\"GT\" >Guatemala<\/option><option value=\"Guernsey\" data-country-code=\"GG\" >Guernsey<\/option><option value=\"Guinea\" data-country-code=\"GN\" >Guinea<\/option><option value=\"Guinea-Bissau\" data-country-code=\"GW\" >Guinea-Bissau<\/option><option value=\"Guyana\" data-country-code=\"GY\" >Guyana<\/option><option value=\"Haiti\" data-country-code=\"HT\" >Haiti<\/option><option value=\"Heard Island And Mcdonald Island\" data-country-code=\"HM\" >Heard Island And Mcdonald Island<\/option><option value=\"Honduras\" data-country-code=\"HN\" >Honduras<\/option><option value=\"Hong Kong\" data-country-code=\"HK\" >Hong Kong<\/option><option value=\"Hungary\" data-country-code=\"HU\" >Hungary<\/option><option value=\"Iceland\" data-country-code=\"IS\" >Iceland<\/option><option value=\"India\" data-country-code=\"IN\" >India<\/option><option value=\"Indonesia\" data-country-code=\"ID\" >Indonesia<\/option><option value=\"Iran\" data-country-code=\"IR\" >Iran<\/option><option value=\"Iraq\" data-country-code=\"IQ\" >Iraq<\/option><option value=\"Ireland\" data-country-code=\"IE\" >Ireland<\/option><option value=\"Israel\" data-country-code=\"IL\" >Israel<\/option><option value=\"Italy\" data-country-code=\"IT\" >Italy<\/option><option value=\"Jamaica\" data-country-code=\"JM\" >Jamaica<\/option><option value=\"Japan\" data-country-code=\"JP\" >Japan<\/option><option value=\"Jersey\" data-country-code=\"JE\" >Jersey<\/option><option value=\"Johnston Island\" data-country-code=\"JT\" >Johnston Island<\/option><option value=\"Jordan\" data-country-code=\"JO\" >Jordan<\/option><option value=\"Kazakhstan\" data-country-code=\"KZ\" >Kazakhstan<\/option><option value=\"Kenya\" data-country-code=\"KE\" >Kenya<\/option><option value=\"Kiribati\" data-country-code=\"KI\" >Kiribati<\/option><option value=\"Korea, Democratic People's Republic of\" data-country-code=\"KP\" >Korea, Democratic People&#8217;s Republic of<\/option><option value=\"Korea, Republic of\" data-country-code=\"KR\" >Korea, Republic of<\/option><option value=\"Kosovo\" data-country-code=\"XK\" >Kosovo<\/option><option value=\"Kuwait\" data-country-code=\"KW\" >Kuwait<\/option><option value=\"Kyrgyzstan\" data-country-code=\"KG\" >Kyrgyzstan<\/option><option value=\"Lao People's Democratic Republic\" data-country-code=\"LA\" >Lao People&#8217;s Democratic Republic<\/option><option value=\"Latvia\" data-country-code=\"LV\" >Latvia<\/option><option value=\"Lebanon\" data-country-code=\"LB\" >Lebanon<\/option><option value=\"Lesotho\" data-country-code=\"LS\" >Lesotho<\/option><option value=\"Liberia\" data-country-code=\"LR\" >Liberia<\/option><option value=\"Libya\" data-country-code=\"LY\" >Libya<\/option><option value=\"Liechtenstein\" data-country-code=\"LI\" >Liechtenstein<\/option><option value=\"Lithuania\" data-country-code=\"LT\" >Lithuania<\/option><option value=\"Luxembourg\" data-country-code=\"LU\" >Luxembourg<\/option><option value=\"Macau\" data-country-code=\"MO\" >Macau<\/option><option value=\"Madagascar\" data-country-code=\"MG\" >Madagascar<\/option><option value=\"Malawi\" data-country-code=\"MW\" >Malawi<\/option><option value=\"Malaysia\" data-country-code=\"MY\" >Malaysia<\/option><option value=\"Maldives\" data-country-code=\"MV\" >Maldives<\/option><option value=\"Mali\" data-country-code=\"ML\" >Mali<\/option><option value=\"Malta\" data-country-code=\"MT\" >Malta<\/option><option value=\"Marshall Islands\" data-country-code=\"MH\" >Marshall Islands<\/option><option value=\"Martinique\" data-country-code=\"MQ\" >Martinique<\/option><option value=\"Mauritania\" data-country-code=\"MR\" >Mauritania<\/option><option value=\"Mauritius\" data-country-code=\"MU\" >Mauritius<\/option><option value=\"Mayotte\" data-country-code=\"YT\" >Mayotte<\/option><option value=\"Mexico\" data-country-code=\"MX\" >Mexico<\/option><option value=\"Micronesia\" data-country-code=\"FM\" >Micronesia<\/option><option value=\"Moldova\" data-country-code=\"MD\" >Moldova<\/option><option value=\"Monaco\" data-country-code=\"MC\" >Monaco<\/option><option value=\"Mongolia\" data-country-code=\"MN\" >Mongolia<\/option><option value=\"Montenegro\" data-country-code=\"ME\" >Montenegro<\/option><option value=\"Montserrat\" data-country-code=\"MS\" >Montserrat<\/option><option value=\"Morocco\" data-country-code=\"MA\" >Morocco<\/option><option value=\"Mozambique\" data-country-code=\"MZ\" >Mozambique<\/option><option value=\"Myanmar\" data-country-code=\"MM\" >Myanmar<\/option><option value=\"Namibia\" data-country-code=\"NA\" >Namibia<\/option><option value=\"Nauru\" data-country-code=\"NR\" >Nauru<\/option><option value=\"Nepal\" data-country-code=\"NP\" >Nepal<\/option><option value=\"Netherlands\" data-country-code=\"NL\" >Netherlands<\/option><option value=\"Netherlands Antilles\" data-country-code=\"AN\" >Netherlands Antilles<\/option><option value=\"New Caledonia\" data-country-code=\"NC\" >New Caledonia<\/option><option value=\"New Zealand\" data-country-code=\"NZ\" >New Zealand<\/option><option value=\"Nicaragua\" data-country-code=\"NI\" >Nicaragua<\/option><option value=\"Niger\" data-country-code=\"NE\" >Niger<\/option><option value=\"Nigeria\" data-country-code=\"NG\" >Nigeria<\/option><option value=\"Niue\" data-country-code=\"NU\" >Niue<\/option><option value=\"Norfolk Island\" data-country-code=\"NF\" >Norfolk Island<\/option><option value=\"North Macedonia\" data-country-code=\"MK\" >North Macedonia<\/option><option value=\"Northern Mariana Islands\" data-country-code=\"MP\" >Northern Mariana Islands<\/option><option value=\"Norway\" data-country-code=\"NO\" >Norway<\/option><option value=\"Oman\" data-country-code=\"OM\" >Oman<\/option><option value=\"Pakistan\" data-country-code=\"PK\" >Pakistan<\/option><option value=\"Palau\" data-country-code=\"PW\" >Palau<\/option><option value=\"Palestine, State of\" data-country-code=\"PS\" >Palestine, State of<\/option><option value=\"Panama\" data-country-code=\"PA\" >Panama<\/option><option value=\"Papua New Guinea\" data-country-code=\"PG\" >Papua New Guinea<\/option><option value=\"Paraguay\" data-country-code=\"PY\" >Paraguay<\/option><option value=\"Peru\" data-country-code=\"PE\" >Peru<\/option><option value=\"Philippines\" data-country-code=\"PH\" >Philippines<\/option><option value=\"Pitcairn Islands\" data-country-code=\"PN\" >Pitcairn Islands<\/option><option value=\"Poland\" data-country-code=\"PL\" >Poland<\/option><option value=\"Portugal\" data-country-code=\"PT\" >Portugal<\/option><option value=\"Puerto Rico\" data-country-code=\"PR\" >Puerto Rico<\/option><option value=\"Qatar\" data-country-code=\"QA\" >Qatar<\/option><option value=\"Reunion Island\" data-country-code=\"RE\" >Reunion Island<\/option><option value=\"Romania\" data-country-code=\"RO\" >Romania<\/option><option value=\"Russia\" data-country-code=\"RU\" >Russia<\/option><option value=\"Rwanda\" data-country-code=\"RW\" >Rwanda<\/option><option value=\"Saint Helena\" data-country-code=\"SH\" >Saint Helena<\/option><option value=\"Saint Kitts and Nevis\" data-country-code=\"KN\" >Saint Kitts and Nevis<\/option><option value=\"Saint Lucia\" data-country-code=\"LC\" >Saint Lucia<\/option><option value=\"Saint Pierre &#038; Miquelon\" data-country-code=\"PM\" >Saint Pierre &#038; Miquelon<\/option><option value=\"Saint Vincent and the Grenadines\" data-country-code=\"VC\" >Saint Vincent and the Grenadines<\/option><option value=\"Samoa\" data-country-code=\"WS\" >Samoa<\/option><option value=\"San Marino\" data-country-code=\"SM\" >San Marino<\/option><option value=\"Sao Tome and Principe\" data-country-code=\"ST\" >Sao Tome and Principe<\/option><option value=\"Saudi Arabia\" data-country-code=\"SA\" >Saudi Arabia<\/option><option value=\"Senegal\" data-country-code=\"SN\" >Senegal<\/option><option value=\"Serbia\" data-country-code=\"RS\" >Serbia<\/option><option value=\"Seychelles\" data-country-code=\"SC\" >Seychelles<\/option><option value=\"Sierra Leone\" data-country-code=\"SL\" >Sierra Leone<\/option><option value=\"Singapore\" data-country-code=\"SG\" >Singapore<\/option><option value=\"Sint Maarten\" data-country-code=\"MF\" >Sint Maarten<\/option><option value=\"Slovakia\" data-country-code=\"SK\" >Slovakia<\/option><option value=\"Slovenia\" data-country-code=\"SI\" >Slovenia<\/option><option value=\"Solomon Islands\" data-country-code=\"SB\" >Solomon Islands<\/option><option value=\"Somalia\" data-country-code=\"SO\" >Somalia<\/option><option value=\"South Africa\" data-country-code=\"ZA\" >South Africa<\/option><option value=\"South Georgia and South Sandwich\" data-country-code=\"GS\" >South Georgia and South Sandwich<\/option><option value=\"Spain\" data-country-code=\"ES\" >Spain<\/option><option value=\"Sri Lanka\" data-country-code=\"LK\" >Sri Lanka<\/option><option value=\"Stateless Persons\" data-country-code=\"XX\" >Stateless Persons<\/option><option value=\"Sudan\" data-country-code=\"SD\" >Sudan<\/option><option value=\"Sudan, South\" data-country-code=\"SS\" >Sudan, South<\/option><option value=\"Suriname\" data-country-code=\"SR\" >Suriname<\/option><option value=\"Svalbard and Jan Mayen\" data-country-code=\"SJ\" >Svalbard and Jan Mayen<\/option><option value=\"Swaziland\" data-country-code=\"SZ\" >Swaziland<\/option><option value=\"Sweden\" data-country-code=\"SE\" >Sweden<\/option><option value=\"Switzerland\" data-country-code=\"CH\" >Switzerland<\/option><option value=\"Syria\" data-country-code=\"SY\" >Syria<\/option><option value=\"Taiwan, Republic of China\" data-country-code=\"TW\" >Taiwan, Republic of China<\/option><option value=\"Tajikistan\" data-country-code=\"TJ\" >Tajikistan<\/option><option value=\"Tanzania\" data-country-code=\"TZ\" >Tanzania<\/option><option value=\"Thailand\" data-country-code=\"TH\" >Thailand<\/option><option value=\"Togo\" data-country-code=\"TG\" >Togo<\/option><option value=\"Tokelau\" data-country-code=\"TK\" >Tokelau<\/option><option value=\"Tonga\" data-country-code=\"TO\" >Tonga<\/option><option value=\"Trinidad and Tobago\" data-country-code=\"TT\" >Trinidad and Tobago<\/option><option value=\"Tunisia\" data-country-code=\"TN\" >Tunisia<\/option><option value=\"Turkey\" data-country-code=\"TR\" >Turkey<\/option><option value=\"Turkmenistan\" data-country-code=\"TM\" >Turkmenistan<\/option><option value=\"Turks And Caicos Islands\" data-country-code=\"TC\" >Turks And Caicos Islands<\/option><option value=\"Tuvalu\" data-country-code=\"TV\" >Tuvalu<\/option><option value=\"US Minor Outlying Islands\" data-country-code=\"UM\" >US Minor Outlying Islands<\/option><option value=\"Uganda\" data-country-code=\"UG\" >Uganda<\/option><option value=\"Ukraine\" data-country-code=\"UA\" >Ukraine<\/option><option value=\"United Arab Emirates\" data-country-code=\"AE\" >United Arab Emirates<\/option><option value=\"United Kingdom\" data-country-code=\"GB\" >United Kingdom<\/option><option value=\"United States of America (USA)\" data-country-code=\"US\" >United States of America (USA)<\/option><option value=\"Uruguay\" data-country-code=\"UY\" >Uruguay<\/option><option value=\"Uzbekistan\" data-country-code=\"UZ\" >Uzbekistan<\/option><option value=\"Vanuatu\" data-country-code=\"VU\" >Vanuatu<\/option><option value=\"Vatican City\" data-country-code=\"VA\" >Vatican City<\/option><option value=\"Venezuela\" data-country-code=\"VE\" >Venezuela<\/option><option value=\"Vietnam\" data-country-code=\"VN\" >Vietnam<\/option><option value=\"Virgin Islands, British\" data-country-code=\"VG\" >Virgin Islands, British<\/option><option value=\"Virgin Islands, U.S.\" data-country-code=\"VI\" >Virgin Islands, U.S.<\/option><option value=\"Wallis And Futuna Islands\" data-country-code=\"WF\" >Wallis And Futuna Islands<\/option><option value=\"Western Sahara\" data-country-code=\"EH\" >Western Sahara<\/option><option value=\"Yemen\" data-country-code=\"YE\" >Yemen<\/option><option value=\"Zambia\" data-country-code=\"ZM\" >Zambia<\/option><option value=\"Zimbabwe\" data-country-code=\"ZW\" >Zimbabwe<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_6ab7113b680d4\" id=\"forminator-field-phone-1_6ab7113b680d4-label\" class=\"forminator-label\">Telephone Number:<\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-1_6ab7113b680d4\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_6ab7113b680d4\" id=\"forminator-field-email-1_6ab7113b680d4-label\" class=\"forminator-label\">Email Address<\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"\" id=\"forminator-field-email-1_6ab7113b680d4\" class=\"forminator-input forminator-email--field\" data-required=\"\" aria-required=\"false\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-5\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-5\"><p><strong>Section B: Nomination by third party<\/strong><\/p>\n<p><strong>Nominator information<\/strong><\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-4\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-4_6ab7113b680d4\" id=\"forminator-field-name-4_6ab7113b680d4-label\" class=\"forminator-label\">Last Name:<\/label><input type=\"text\" name=\"name-4\" value=\"\" placeholder=\"\" id=\"forminator-field-name-4_6ab7113b680d4\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-5\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-5_6ab7113b680d4\" id=\"forminator-field-name-5_6ab7113b680d4-label\" class=\"forminator-label\">First Name:<\/label><input type=\"text\" name=\"name-5\" value=\"\" placeholder=\"\" id=\"forminator-field-name-5_6ab7113b680d4\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-6\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-6_6ab7113b680d4\" id=\"forminator-field-name-6_6ab7113b680d4-label\" class=\"forminator-label\">Middle Initial:<\/label><input type=\"text\" name=\"name-6\" value=\"\" placeholder=\"\" id=\"forminator-field-name-6_6ab7113b680d4\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_6ab7113b680d4\" id=\"forminator-field-textarea-1_6ab7113b680d4-label\" class=\"forminator-label\">Relationship between nominating party\/nominator and applicant:<\/label><textarea name=\"textarea-1\" placeholder=\"\" id=\"forminator-field-textarea-1_6ab7113b680d4\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_6ab7113b680d4\" id=\"forminator-field-text-2_6ab7113b680d4-label\" class=\"forminator-label\">Position\/Title of Nominator:<\/label><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"\" id=\"forminator-field-text-2_6ab7113b680d4\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-2\" class=\"forminator-field-address forminator-col forminator-col-12 \"><div class=\"forminator-row\"><div id=\"address-2-street_address\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-2-street_address_6ab7113b680d4\" id=\"forminator-field-address-2-street_address_6ab7113b680d4-label\" class=\"forminator-label\">Street Address<\/label><input type=\"text\" name=\"address-2-street_address\" placeholder=\"\" id=\"forminator-field-address-2-street_address_6ab7113b680d4\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" autocomplete=\"address-line1\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-2-address_line\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-2-address_line_6ab7113b680d4\" id=\"forminator-field-address-2-address_line_6ab7113b680d4-label\" class=\"forminator-label\">Apartment, suite, etc<\/label><input type=\"text\" name=\"address-2-address_line\" placeholder=\"\" id=\"forminator-field-address-2-address_line_6ab7113b680d4\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" autocomplete=\"address-line2\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"address-2-city\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-address-2-city_6ab7113b680d4\" id=\"forminator-field-address-2-city_6ab7113b680d4-label\" class=\"forminator-label\">City<\/label><input type=\"text\" name=\"address-2-city\" placeholder=\"\" id=\"forminator-field-address-2-city_6ab7113b680d4\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" autocomplete=\"address-level2\" value=\"\" \/><\/div><\/div><div id=\"address-2-state\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-address-2-state_6ab7113b680d4\" id=\"forminator-field-address-2-state_6ab7113b680d4-label\" class=\"forminator-label\">State\/Province<\/label><input type=\"text\" name=\"address-2-state\" placeholder=\"\" id=\"forminator-field-address-2-state_6ab7113b680d4\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" autocomplete=\"address-level1\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"address-2-zip\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-address-2-zip_6ab7113b680d4\" id=\"forminator-field-address-2-zip_6ab7113b680d4-label\" class=\"forminator-label\">ZIP \/ Postal code<\/label><input type=\"text\" name=\"address-2-zip\" placeholder=\"\" id=\"forminator-field-address-2-zip_6ab7113b680d4\" class=\"forminator-input\" autocomplete=\"postal-code\" value=\"\" \/><\/div><\/div><div id=\"address-2-country\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-575__field--address-2-country_6ab7113b680d4\" id=\"forminator-field-575__field--address-2-country_6ab7113b680d4-label\" class=\"forminator-label\">Country<\/label><select name=\"address-2-country\" id=\"forminator-field-575__field--address-2-country_6ab7113b680d4\" class=\"forminator-select2\" data-search=\"true\" data-placeholder=\"Select country\" autocomplete=\"country-name country\" data-default-value=\"\"><option value=\"\" data-country-code=\"\" selected=\"selected\"><\/option><option value=\"Afghanistan\" data-country-code=\"AF\" >Afghanistan<\/option><option value=\"Albania\" data-country-code=\"AL\" >Albania<\/option><option value=\"Algeria\" data-country-code=\"DZ\" >Algeria<\/option><option value=\"American Samoa\" data-country-code=\"AS\" >American Samoa<\/option><option value=\"Andorra\" data-country-code=\"AD\" >Andorra<\/option><option value=\"Angola\" data-country-code=\"AO\" >Angola<\/option><option value=\"Anguilla\" data-country-code=\"AI\" >Anguilla<\/option><option value=\"Antarctica\" data-country-code=\"AQ\" >Antarctica<\/option><option value=\"Antigua and Barbuda\" data-country-code=\"AG\" >Antigua and Barbuda<\/option><option value=\"Argentina\" data-country-code=\"AR\" >Argentina<\/option><option value=\"Armenia\" data-country-code=\"AM\" >Armenia<\/option><option value=\"Aruba\" data-country-code=\"AW\" >Aruba<\/option><option value=\"Australia\" data-country-code=\"AU\" >Australia<\/option><option value=\"Austria\" data-country-code=\"AT\" >Austria<\/option><option value=\"Azerbaijan\" data-country-code=\"AZ\" >Azerbaijan<\/option><option value=\"Bahamas\" data-country-code=\"BS\" >Bahamas<\/option><option value=\"Bahrain\" data-country-code=\"BH\" >Bahrain<\/option><option value=\"Bangladesh\" data-country-code=\"BD\" >Bangladesh<\/option><option value=\"Barbados\" data-country-code=\"BB\" >Barbados<\/option><option value=\"Belarus\" data-country-code=\"BY\" >Belarus<\/option><option value=\"Belgium\" data-country-code=\"BE\" >Belgium<\/option><option value=\"Belize\" data-country-code=\"BZ\" >Belize<\/option><option value=\"Benin\" data-country-code=\"BJ\" >Benin<\/option><option value=\"Bermuda\" data-country-code=\"BM\" >Bermuda<\/option><option value=\"Bhutan\" data-country-code=\"BT\" >Bhutan<\/option><option value=\"Bolivia\" data-country-code=\"BO\" >Bolivia<\/option><option value=\"Bosnia and Herzegovina\" data-country-code=\"BA\" >Bosnia and Herzegovina<\/option><option value=\"Botswana\" data-country-code=\"BW\" >Botswana<\/option><option value=\"Bouvet Island\" data-country-code=\"BV\" >Bouvet Island<\/option><option value=\"Brazil\" data-country-code=\"BR\" >Brazil<\/option><option value=\"British Indian Ocean Territory\" data-country-code=\"IO\" >British Indian Ocean Territory<\/option><option value=\"Brunei\" data-country-code=\"BN\" >Brunei<\/option><option value=\"Bulgaria\" data-country-code=\"BG\" >Bulgaria<\/option><option value=\"Burkina Faso\" data-country-code=\"BF\" >Burkina Faso<\/option><option value=\"Burundi\" data-country-code=\"BI\" >Burundi<\/option><option value=\"Cabo Verde\" data-country-code=\"CV\" >Cabo Verde<\/option><option value=\"Cambodia\" data-country-code=\"KH\" >Cambodia<\/option><option value=\"Cameroon\" data-country-code=\"CM\" >Cameroon<\/option><option value=\"Canada\" data-country-code=\"CA\" >Canada<\/option><option value=\"Cayman Islands\" data-country-code=\"KY\" >Cayman Islands<\/option><option value=\"Central African Republic\" data-country-code=\"CF\" >Central African Republic<\/option><option value=\"Chad\" data-country-code=\"TD\" >Chad<\/option><option value=\"Chile\" data-country-code=\"CL\" >Chile<\/option><option value=\"China, People's Republic of\" data-country-code=\"CN\" >China, People&#8217;s Republic of<\/option><option value=\"Christmas Island\" data-country-code=\"CX\" >Christmas Island<\/option><option value=\"Cocos Islands\" data-country-code=\"CC\" >Cocos Islands<\/option><option value=\"Colombia\" data-country-code=\"CO\" >Colombia<\/option><option value=\"Comoros\" data-country-code=\"KM\" >Comoros<\/option><option value=\"Congo, Democratic Republic of the\" data-country-code=\"CD\" >Congo, Democratic Republic of the<\/option><option value=\"Congo, Republic of the\" data-country-code=\"CG\" >Congo, Republic of the<\/option><option value=\"Cook Islands\" data-country-code=\"CK\" >Cook Islands<\/option><option value=\"Costa Rica\" data-country-code=\"CR\" >Costa Rica<\/option><option value=\"Croatia\" data-country-code=\"HR\" >Croatia<\/option><option value=\"Cuba\" data-country-code=\"CU\" >Cuba<\/option><option value=\"Cura\u00e7ao\" data-country-code=\"CW\" >Cura\u00e7ao<\/option><option value=\"Cyprus\" data-country-code=\"CY\" >Cyprus<\/option><option value=\"Czech Republic\" data-country-code=\"CZ\" >Czech Republic<\/option><option value=\"C\u00f4te d'Ivoire\" data-country-code=\"CI\" >C\u00f4te d&#8217;Ivoire<\/option><option value=\"Denmark\" data-country-code=\"DK\" >Denmark<\/option><option value=\"Djibouti\" data-country-code=\"DJ\" >Djibouti<\/option><option value=\"Dominica\" data-country-code=\"DM\" >Dominica<\/option><option value=\"Dominican Republic\" data-country-code=\"DO\" >Dominican Republic<\/option><option value=\"East Timor\" data-country-code=\"TL\" >East Timor<\/option><option value=\"Ecuador\" data-country-code=\"EC\" >Ecuador<\/option><option value=\"Egypt\" data-country-code=\"EG\" >Egypt<\/option><option value=\"El Salvador\" data-country-code=\"SV\" >El Salvador<\/option><option value=\"Equatorial Guinea\" data-country-code=\"GQ\" >Equatorial Guinea<\/option><option value=\"Eritrea\" data-country-code=\"ER\" >Eritrea<\/option><option value=\"Estonia\" data-country-code=\"EE\" >Estonia<\/option><option value=\"Ethiopia\" data-country-code=\"ET\" >Ethiopia<\/option><option value=\"Falkland Islands\" data-country-code=\"FK\" >Falkland Islands<\/option><option value=\"Faroe Islands\" data-country-code=\"FO\" >Faroe Islands<\/option><option value=\"Fiji\" data-country-code=\"FJ\" >Fiji<\/option><option value=\"Finland\" data-country-code=\"FI\" >Finland<\/option><option value=\"France\" data-country-code=\"FR\" >France<\/option><option value=\"France, Metropolitan\" data-country-code=\"FX\" >France, Metropolitan<\/option><option value=\"French Guiana\" data-country-code=\"GF\" >French Guiana<\/option><option value=\"French Polynesia\" data-country-code=\"PF\" >French Polynesia<\/option><option value=\"French South Territories\" data-country-code=\"TF\" >French South Territories<\/option><option value=\"Gabon\" data-country-code=\"GA\" >Gabon<\/option><option value=\"Gambia\" data-country-code=\"GM\" >Gambia<\/option><option value=\"Georgia\" data-country-code=\"GE\" >Georgia<\/option><option value=\"Germany\" data-country-code=\"DE\" >Germany<\/option><option value=\"Ghana\" data-country-code=\"GH\" >Ghana<\/option><option value=\"Gibraltar\" data-country-code=\"GI\" >Gibraltar<\/option><option value=\"Greece\" data-country-code=\"GR\" >Greece<\/option><option value=\"Greenland\" data-country-code=\"GL\" >Greenland<\/option><option value=\"Grenada\" data-country-code=\"GD\" >Grenada<\/option><option value=\"Guadeloupe\" data-country-code=\"GP\" >Guadeloupe<\/option><option value=\"Guam\" data-country-code=\"GU\" >Guam<\/option><option value=\"Guatemala\" data-country-code=\"GT\" >Guatemala<\/option><option value=\"Guernsey\" data-country-code=\"GG\" >Guernsey<\/option><option value=\"Guinea\" data-country-code=\"GN\" >Guinea<\/option><option value=\"Guinea-Bissau\" data-country-code=\"GW\" >Guinea-Bissau<\/option><option value=\"Guyana\" data-country-code=\"GY\" >Guyana<\/option><option value=\"Haiti\" data-country-code=\"HT\" >Haiti<\/option><option value=\"Heard Island And Mcdonald Island\" data-country-code=\"HM\" >Heard Island And Mcdonald Island<\/option><option value=\"Honduras\" data-country-code=\"HN\" >Honduras<\/option><option value=\"Hong Kong\" data-country-code=\"HK\" >Hong Kong<\/option><option value=\"Hungary\" data-country-code=\"HU\" >Hungary<\/option><option value=\"Iceland\" data-country-code=\"IS\" >Iceland<\/option><option value=\"India\" data-country-code=\"IN\" >India<\/option><option value=\"Indonesia\" data-country-code=\"ID\" >Indonesia<\/option><option value=\"Iran\" data-country-code=\"IR\" >Iran<\/option><option value=\"Iraq\" data-country-code=\"IQ\" >Iraq<\/option><option value=\"Ireland\" data-country-code=\"IE\" >Ireland<\/option><option value=\"Israel\" data-country-code=\"IL\" >Israel<\/option><option value=\"Italy\" data-country-code=\"IT\" >Italy<\/option><option value=\"Jamaica\" data-country-code=\"JM\" >Jamaica<\/option><option value=\"Japan\" data-country-code=\"JP\" >Japan<\/option><option value=\"Jersey\" data-country-code=\"JE\" >Jersey<\/option><option value=\"Johnston Island\" data-country-code=\"JT\" >Johnston Island<\/option><option value=\"Jordan\" data-country-code=\"JO\" >Jordan<\/option><option value=\"Kazakhstan\" data-country-code=\"KZ\" >Kazakhstan<\/option><option value=\"Kenya\" data-country-code=\"KE\" >Kenya<\/option><option value=\"Kiribati\" data-country-code=\"KI\" >Kiribati<\/option><option value=\"Korea, Democratic People's Republic of\" data-country-code=\"KP\" >Korea, Democratic People&#8217;s Republic of<\/option><option value=\"Korea, Republic of\" data-country-code=\"KR\" >Korea, Republic of<\/option><option value=\"Kosovo\" data-country-code=\"XK\" >Kosovo<\/option><option value=\"Kuwait\" data-country-code=\"KW\" >Kuwait<\/option><option value=\"Kyrgyzstan\" data-country-code=\"KG\" >Kyrgyzstan<\/option><option value=\"Lao People's Democratic Republic\" data-country-code=\"LA\" >Lao People&#8217;s Democratic Republic<\/option><option value=\"Latvia\" data-country-code=\"LV\" >Latvia<\/option><option value=\"Lebanon\" data-country-code=\"LB\" >Lebanon<\/option><option value=\"Lesotho\" data-country-code=\"LS\" >Lesotho<\/option><option value=\"Liberia\" data-country-code=\"LR\" >Liberia<\/option><option value=\"Libya\" data-country-code=\"LY\" >Libya<\/option><option value=\"Liechtenstein\" data-country-code=\"LI\" >Liechtenstein<\/option><option value=\"Lithuania\" data-country-code=\"LT\" >Lithuania<\/option><option value=\"Luxembourg\" data-country-code=\"LU\" >Luxembourg<\/option><option value=\"Macau\" data-country-code=\"MO\" >Macau<\/option><option value=\"Madagascar\" data-country-code=\"MG\" >Madagascar<\/option><option value=\"Malawi\" data-country-code=\"MW\" >Malawi<\/option><option value=\"Malaysia\" data-country-code=\"MY\" >Malaysia<\/option><option value=\"Maldives\" data-country-code=\"MV\" >Maldives<\/option><option value=\"Mali\" data-country-code=\"ML\" >Mali<\/option><option value=\"Malta\" data-country-code=\"MT\" >Malta<\/option><option value=\"Marshall Islands\" data-country-code=\"MH\" >Marshall Islands<\/option><option value=\"Martinique\" data-country-code=\"MQ\" >Martinique<\/option><option value=\"Mauritania\" data-country-code=\"MR\" >Mauritania<\/option><option value=\"Mauritius\" data-country-code=\"MU\" >Mauritius<\/option><option value=\"Mayotte\" data-country-code=\"YT\" >Mayotte<\/option><option value=\"Mexico\" data-country-code=\"MX\" >Mexico<\/option><option value=\"Micronesia\" data-country-code=\"FM\" >Micronesia<\/option><option value=\"Moldova\" data-country-code=\"MD\" >Moldova<\/option><option value=\"Monaco\" data-country-code=\"MC\" >Monaco<\/option><option value=\"Mongolia\" data-country-code=\"MN\" >Mongolia<\/option><option value=\"Montenegro\" data-country-code=\"ME\" >Montenegro<\/option><option value=\"Montserrat\" data-country-code=\"MS\" >Montserrat<\/option><option value=\"Morocco\" data-country-code=\"MA\" >Morocco<\/option><option value=\"Mozambique\" data-country-code=\"MZ\" >Mozambique<\/option><option value=\"Myanmar\" data-country-code=\"MM\" >Myanmar<\/option><option value=\"Namibia\" data-country-code=\"NA\" >Namibia<\/option><option value=\"Nauru\" data-country-code=\"NR\" >Nauru<\/option><option value=\"Nepal\" data-country-code=\"NP\" >Nepal<\/option><option value=\"Netherlands\" data-country-code=\"NL\" >Netherlands<\/option><option value=\"Netherlands Antilles\" data-country-code=\"AN\" >Netherlands Antilles<\/option><option value=\"New Caledonia\" data-country-code=\"NC\" >New Caledonia<\/option><option value=\"New Zealand\" data-country-code=\"NZ\" >New Zealand<\/option><option value=\"Nicaragua\" data-country-code=\"NI\" >Nicaragua<\/option><option value=\"Niger\" data-country-code=\"NE\" >Niger<\/option><option value=\"Nigeria\" data-country-code=\"NG\" >Nigeria<\/option><option value=\"Niue\" data-country-code=\"NU\" >Niue<\/option><option value=\"Norfolk Island\" data-country-code=\"NF\" >Norfolk Island<\/option><option value=\"North Macedonia\" data-country-code=\"MK\" >North Macedonia<\/option><option value=\"Northern Mariana Islands\" data-country-code=\"MP\" >Northern Mariana Islands<\/option><option value=\"Norway\" data-country-code=\"NO\" >Norway<\/option><option value=\"Oman\" data-country-code=\"OM\" >Oman<\/option><option value=\"Pakistan\" data-country-code=\"PK\" >Pakistan<\/option><option value=\"Palau\" data-country-code=\"PW\" >Palau<\/option><option value=\"Palestine, State of\" data-country-code=\"PS\" >Palestine, State of<\/option><option value=\"Panama\" data-country-code=\"PA\" >Panama<\/option><option value=\"Papua New Guinea\" data-country-code=\"PG\" >Papua New Guinea<\/option><option value=\"Paraguay\" data-country-code=\"PY\" >Paraguay<\/option><option value=\"Peru\" data-country-code=\"PE\" >Peru<\/option><option value=\"Philippines\" data-country-code=\"PH\" >Philippines<\/option><option value=\"Pitcairn Islands\" data-country-code=\"PN\" >Pitcairn Islands<\/option><option value=\"Poland\" data-country-code=\"PL\" >Poland<\/option><option value=\"Portugal\" data-country-code=\"PT\" >Portugal<\/option><option value=\"Puerto Rico\" data-country-code=\"PR\" >Puerto Rico<\/option><option value=\"Qatar\" data-country-code=\"QA\" >Qatar<\/option><option value=\"Reunion Island\" data-country-code=\"RE\" >Reunion Island<\/option><option value=\"Romania\" data-country-code=\"RO\" >Romania<\/option><option value=\"Russia\" data-country-code=\"RU\" >Russia<\/option><option value=\"Rwanda\" data-country-code=\"RW\" >Rwanda<\/option><option value=\"Saint Helena\" data-country-code=\"SH\" >Saint Helena<\/option><option value=\"Saint Kitts and Nevis\" data-country-code=\"KN\" >Saint Kitts and Nevis<\/option><option value=\"Saint Lucia\" data-country-code=\"LC\" >Saint Lucia<\/option><option value=\"Saint Pierre &#038; Miquelon\" data-country-code=\"PM\" >Saint Pierre &#038; Miquelon<\/option><option value=\"Saint Vincent and the Grenadines\" data-country-code=\"VC\" >Saint Vincent and the Grenadines<\/option><option value=\"Samoa\" data-country-code=\"WS\" >Samoa<\/option><option value=\"San Marino\" data-country-code=\"SM\" >San Marino<\/option><option value=\"Sao Tome and Principe\" data-country-code=\"ST\" >Sao Tome and Principe<\/option><option value=\"Saudi Arabia\" data-country-code=\"SA\" >Saudi Arabia<\/option><option value=\"Senegal\" data-country-code=\"SN\" >Senegal<\/option><option value=\"Serbia\" data-country-code=\"RS\" >Serbia<\/option><option value=\"Seychelles\" data-country-code=\"SC\" >Seychelles<\/option><option value=\"Sierra Leone\" data-country-code=\"SL\" >Sierra Leone<\/option><option value=\"Singapore\" data-country-code=\"SG\" >Singapore<\/option><option value=\"Sint Maarten\" data-country-code=\"MF\" >Sint Maarten<\/option><option value=\"Slovakia\" data-country-code=\"SK\" >Slovakia<\/option><option value=\"Slovenia\" data-country-code=\"SI\" >Slovenia<\/option><option value=\"Solomon Islands\" data-country-code=\"SB\" >Solomon Islands<\/option><option value=\"Somalia\" data-country-code=\"SO\" >Somalia<\/option><option value=\"South Africa\" data-country-code=\"ZA\" >South Africa<\/option><option value=\"South Georgia and South Sandwich\" data-country-code=\"GS\" >South Georgia and South Sandwich<\/option><option value=\"Spain\" data-country-code=\"ES\" >Spain<\/option><option value=\"Sri Lanka\" data-country-code=\"LK\" >Sri Lanka<\/option><option value=\"Stateless Persons\" data-country-code=\"XX\" >Stateless Persons<\/option><option value=\"Sudan\" data-country-code=\"SD\" >Sudan<\/option><option value=\"Sudan, South\" data-country-code=\"SS\" >Sudan, South<\/option><option value=\"Suriname\" data-country-code=\"SR\" >Suriname<\/option><option value=\"Svalbard and Jan Mayen\" data-country-code=\"SJ\" >Svalbard and Jan Mayen<\/option><option value=\"Swaziland\" data-country-code=\"SZ\" >Swaziland<\/option><option value=\"Sweden\" data-country-code=\"SE\" >Sweden<\/option><option value=\"Switzerland\" data-country-code=\"CH\" >Switzerland<\/option><option value=\"Syria\" data-country-code=\"SY\" >Syria<\/option><option value=\"Taiwan, Republic of China\" data-country-code=\"TW\" >Taiwan, Republic of China<\/option><option value=\"Tajikistan\" data-country-code=\"TJ\" >Tajikistan<\/option><option value=\"Tanzania\" data-country-code=\"TZ\" >Tanzania<\/option><option value=\"Thailand\" data-country-code=\"TH\" >Thailand<\/option><option value=\"Togo\" data-country-code=\"TG\" >Togo<\/option><option value=\"Tokelau\" data-country-code=\"TK\" >Tokelau<\/option><option value=\"Tonga\" data-country-code=\"TO\" >Tonga<\/option><option value=\"Trinidad and Tobago\" data-country-code=\"TT\" >Trinidad and Tobago<\/option><option value=\"Tunisia\" data-country-code=\"TN\" >Tunisia<\/option><option value=\"Turkey\" data-country-code=\"TR\" >Turkey<\/option><option value=\"Turkmenistan\" data-country-code=\"TM\" >Turkmenistan<\/option><option value=\"Turks And Caicos Islands\" data-country-code=\"TC\" >Turks And Caicos Islands<\/option><option value=\"Tuvalu\" data-country-code=\"TV\" >Tuvalu<\/option><option value=\"US Minor Outlying Islands\" data-country-code=\"UM\" >US Minor Outlying Islands<\/option><option value=\"Uganda\" data-country-code=\"UG\" >Uganda<\/option><option value=\"Ukraine\" data-country-code=\"UA\" >Ukraine<\/option><option value=\"United Arab Emirates\" data-country-code=\"AE\" >United Arab Emirates<\/option><option value=\"United Kingdom\" data-country-code=\"GB\" >United Kingdom<\/option><option value=\"United States of America (USA)\" data-country-code=\"US\" >United States of America (USA)<\/option><option value=\"Uruguay\" data-country-code=\"UY\" >Uruguay<\/option><option value=\"Uzbekistan\" data-country-code=\"UZ\" >Uzbekistan<\/option><option value=\"Vanuatu\" data-country-code=\"VU\" >Vanuatu<\/option><option value=\"Vatican City\" data-country-code=\"VA\" >Vatican City<\/option><option value=\"Venezuela\" data-country-code=\"VE\" >Venezuela<\/option><option value=\"Vietnam\" data-country-code=\"VN\" >Vietnam<\/option><option value=\"Virgin Islands, British\" data-country-code=\"VG\" >Virgin Islands, British<\/option><option value=\"Virgin Islands, U.S.\" data-country-code=\"VI\" >Virgin Islands, U.S.<\/option><option value=\"Wallis And Futuna Islands\" data-country-code=\"WF\" >Wallis And Futuna Islands<\/option><option value=\"Western Sahara\" data-country-code=\"EH\" >Western Sahara<\/option><option value=\"Yemen\" data-country-code=\"YE\" >Yemen<\/option><option value=\"Zambia\" data-country-code=\"ZM\" >Zambia<\/option><option value=\"Zimbabwe\" data-country-code=\"ZW\" >Zimbabwe<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-2\" class=\"forminator-field-phone forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-2_6ab7113b680d4\" id=\"forminator-field-phone-2_6ab7113b680d4-label\" class=\"forminator-label\">Telephone Number:<\/label><input type=\"text\" name=\"phone-2\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-2_6ab7113b680d4\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-2\" class=\"forminator-field-email forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-2_6ab7113b680d4\" id=\"forminator-field-email-2_6ab7113b680d4-label\" class=\"forminator-label\">Email Address<\/label><input type=\"email\" name=\"email-2\" value=\"\" placeholder=\"\" id=\"forminator-field-email-2_6ab7113b680d4\" class=\"forminator-input forminator-email--field\" data-required=\"\" aria-required=\"false\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-6\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-6\"><p><strong>Part 3: Description of Activity<\/strong><\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-2\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-2_6ab7113b680d4\" id=\"forminator-field-textarea-2_6ab7113b680d4-label\" class=\"forminator-label\">1. Website \/ Social Media Links<\/label><textarea name=\"textarea-2\" placeholder=\"\" id=\"forminator-field-textarea-2_6ab7113b680d4\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-3\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-3_6ab7113b680d4\" id=\"forminator-field-textarea-3_6ab7113b680d4-label\" class=\"forminator-label\">2. Provide a title for your environmental activity (maximum 10 words)<\/label><textarea name=\"textarea-3\" placeholder=\"\" id=\"forminator-field-textarea-3_6ab7113b680d4\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-4\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-4_6ab7113b680d4\" id=\"forminator-field-textarea-4_6ab7113b680d4-label\" class=\"forminator-label\">3. Background:<\/label><textarea name=\"textarea-4\" placeholder=\"\u202fPlease explain why and how your company has decided to address sustainability within the organisation or through its products\/services. Please include a brief profile of your company\u2019s environmental footprint, and a description of what the biggest environmental challenges facing your company are, and\/or what the biggest challenges are for the sector your company is providing products\/services for. (500 words maximum)\" id=\"forminator-field-textarea-4_6ab7113b680d4\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-5\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-5_6ab7113b680d4\" id=\"forminator-field-textarea-5_6ab7113b680d4-label\" class=\"forminator-label\">4. Governance and reporting:<\/label><textarea name=\"textarea-5\" placeholder=\"Please explain how governance practices within the organisation are being used to bring sustainability to the forefront of business practice, and how the environmental footprint of the organisation is gathered, reported on, and used to drive further sustainability plans. (300 words maximum)\" id=\"forminator-field-textarea-5_6ab7113b680d4\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-6\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-6_6ab7113b680d4\" id=\"forminator-field-textarea-6_6ab7113b680d4-label\" class=\"forminator-label\">5. Innovation:<\/label><textarea name=\"textarea-6\" placeholder=\"Businesses face different sustainability challenges, both in terms of resourcing and market share. Please outline how, your business is innovating to ensure your own internal sustainability goals are reached, or to ensure your products\/services can have maximum impact on other\u2019s sustainability goals. (250 words)\" id=\"forminator-field-textarea-6_6ab7113b680d4\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-7\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-7_6ab7113b680d4\" id=\"forminator-field-textarea-7_6ab7113b680d4-label\" class=\"forminator-label\">6. Key Projects:<\/label><textarea name=\"textarea-7\" placeholder=\"Please outline any project(s) that has taken place (or continued) within the adjudication period that demonstrates the work being done on environmental sustainability in your organisation. These can be internal projects that demonstrate the efforts to reduce the organisation\u2019s environmental footprint, and\/or products\/services provided by the company that are helping customers reduce their environmental footprints. Please include any relevant data to support your claims. (350 words)\" id=\"forminator-field-textarea-7_6ab7113b680d4\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-8\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-8_6ab7113b680d4\" id=\"forminator-field-textarea-8_6ab7113b680d4-label\" class=\"forminator-label\">7. Outcomes and impacts:<\/label><textarea name=\"textarea-8\" placeholder=\"Please outline any positive outcomes or measurable impacts from the company\u2019s overall sustainability efforts. Please include data, graphs, testimony or any other relevant information that demonstrates the measurable sustainability outcomes of your company\u2019s internal efforts or products or services (carbon emissions, water usage, waste volumes etc). Data from previous years can be included to demonstrate progress, as long as data from the adjudication period is also included. Please ensure any data around carbon intensity improvements is also accompanied by total emissions data. Please ensure any emissions offsets programmes are dealt with separately to actual emissions reductions. (300 words)\" id=\"forminator-field-textarea-8_6ab7113b680d4\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-9\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-9_6ab7113b680d4\" id=\"forminator-field-textarea-9_6ab7113b680d4-label\" class=\"forminator-label\">8. Industry leadership:<\/label><textarea name=\"textarea-9\" placeholder=\"Please outline how your company has provided leadership in your industry\/sector\/community on sustainability. This can include initiatives to support others in your sector in their sustainability journeys through partnerships, research or any other pooled efforts. It can also include efforts to ensure your company\u2019s suppliers are also reducing their environmental footprint, or efforts to support your local community in furthering sustainability. Any other examples of leadership by your organisation are also welcome. (250 words)\" id=\"forminator-field-textarea-9_6ab7113b680d4\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-10\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-10_6ab7113b680d4\" id=\"forminator-field-textarea-10_6ab7113b680d4-label\" class=\"forminator-label\">9. Plans for the future:<\/label><textarea name=\"textarea-10\" placeholder=\"Please outline your company\u2019s medium\/long term plans for addressing sustainability, highlighting any ambitions or clear goals that have been set by the organisation, and citing any clear roadmaps being used by the company to achieve these goals. Please ensure any targets (50 per cent reduction in emissions etc) are accompanied by the relevant baseline year. (200 words)\" id=\"forminator-field-textarea-10_6ab7113b680d4\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-11\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-11_6ab7113b680d4\" id=\"forminator-field-textarea-11_6ab7113b680d4-label\" class=\"forminator-label\">Environmental impact or benefits<\/label><textarea name=\"textarea-11\" placeholder=\"Describe the tangible benefits your program or activity creates for the environment and include quantitative and qualitative results. Please also describe the health benefits to that have resulted from your program or activity, if applicable. Please provide detail: (300 words)\" id=\"forminator-field-textarea-11_6ab7113b680d4\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-12\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-12_6ab7113b680d4\" id=\"forminator-field-textarea-12_6ab7113b680d4-label\" class=\"forminator-label\">11. Fostering behaviour change<\/label><textarea name=\"textarea-12\" placeholder=\"How does your program or activity promote positive behaviour change in others? Does it include any of the following: outreach, education or social marketing? If so, please provide detail. The government is interested in details of how your program or activity fosters knowledge, values. (250 words)\" id=\"forminator-field-textarea-12_6ab7113b680d4\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-13\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-13_6ab7113b680d4\" id=\"forminator-field-textarea-13_6ab7113b680d4-label\" class=\"forminator-label\">12. or behaviour change through innovation, promotion, or outreach, etc. that leads to an environmental benefit. (250 words)<\/label><textarea name=\"textarea-13\" placeholder=\"\" id=\"forminator-field-textarea-13_6ab7113b680d4\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-14\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-14_6ab7113b680d4\" id=\"forminator-field-textarea-14_6ab7113b680d4-label\" class=\"forminator-label\">13. Transferability and scalability<\/label><textarea name=\"textarea-14\" placeholder=\"Does your project or activity have the potential to be used on a wider scale by others? How? Please explain. (250 words)\" id=\"forminator-field-textarea-14_6ab7113b680d4\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-15\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-15_6ab7113b680d4\" id=\"forminator-field-textarea-15_6ab7113b680d4-label\" class=\"forminator-label\">14. Please provide supporting materials, these could include links to newspaper articles, audio visual, certificates of recognition, photographs, websites, etc. If submitting supporting materials as attachments, please list them here and then email them directly.<\/label><textarea name=\"textarea-15\" placeholder=\"\" id=\"forminator-field-textarea-15_6ab7113b680d4\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-1\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-1_6ab7113b680d4\" id=\"forminator-field-upload-1_6ab7113b680d4-label\" class=\"forminator-label\">Upload file<\/label><div class=\"forminator-file-upload \" data-element=\"upload-1_6ab7113b680d4\"><input type=\"file\" name=\"upload-1\" id=\"forminator-field-upload-1_6ab7113b680d4\" class=\"forminator-input-file\" accept=\".jpg,.jpeg,.jpe,.gif,.png,.bmp,.tiff,.tif,.webp,.avif,.ico,.heic,.heif,.heics,.heifs,.asf,.asx,.wmv,.wmx,.wm,.avi,.divx,.flv,.mov,.qt,.mpeg,.mpg,.mpe,.mp4,.m4v,.ogv,.webm,.mkv,.3gp,.3gpp,.3g2,.3gp2,.txt,.asc,.c,.cc,.h,.srt,.csv,.tsv,.ics,.rtx,.vtt,.mp3,.m4a,.m4b,.aac,.ra,.ram,.wav,.x-wav,.ogg,.oga,.flac,.mid,.midi,.wma,.wax,.mka,.rtf,.pdf,.class,.tar,.zip,.gz,.gzip,.7z,.psd,.xcf,.doc,.pot,.pps,.ppt,.wri,.xla,.xls,.xlt,.xlw,.mdb,.mpp,.docx,.docm,.dotx,.dotm,.xlsx,.xlsm,.xlsb,.xltx,.xltm,.xlam,.pptx,.pptm,.ppsx,.ppsm,.potx,.potm,.ppam,.sldx,.sldm,.onetoc,.onetoc2,.onetmp,.onepkg,.oxps,.xps,.odt,.odp,.ods,.odg,.odc,.odb,.odf,.wp,.wpd,.key,.numbers,.pages\" tabindex=\"-1\"><button id=\"forminator-field-upload-1_6ab7113b680d4_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-1_6ab7113b680d4\">Choose File<\/button><span data-empty-text=\"No file chosen\">No file chosen<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Delete uploaded file<\/span><\/button><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-7\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-7\"><p><strong>Part D General Information<\/strong><\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_6ab7113b680d4\" id=\"forminator-field-text-3_6ab7113b680d4-label\" class=\"forminator-label\">How did you find out about this awards program?<\/label><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"\" id=\"forminator-field-text-3_6ab7113b680d4\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-2\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-2-6ab7113b680d4-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-2-6ab7113b680d4-label\" class=\"forminator-label\">DECLARATION:<\/span><label id=\"forminator-field-checkbox-2-1-6ab7113b680d4-label\" for=\"forminator-field-checkbox-2-1-6ab7113b680d4\" class=\"forminator-checkbox\" title=\"I confirm that my application is correct to the best of my ability and will agree to provide further details if requested as part of the judging process.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"I confirm that my application is correct to the best of my ability and will agree to provide further details if requested as part of the judging process.\" id=\"forminator-field-checkbox-2-1-6ab7113b680d4\" aria-labelledby=\"forminator-field-checkbox-2-1-6ab7113b680d4-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I confirm that my application is correct to the best of my ability and will agree to provide further details if requested as part of the judging process.<\/span><\/label><label id=\"forminator-field-checkbox-2-2-6ab7113b680d4-label\" for=\"forminator-field-checkbox-2-2-6ab7113b680d4\" class=\"forminator-checkbox\" title=\"I am aware that it is my responsibility to seek any approval\/permissions to submit this application from my company.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"I am aware that it is my responsibility to seek any approval\/permissions to submit this application from my company.\" id=\"forminator-field-checkbox-2-2-6ab7113b680d4\" aria-labelledby=\"forminator-field-checkbox-2-2-6ab7113b680d4-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I am aware that it is my responsibility to seek any approval\/permissions to submit this application from my company.<\/span><\/label><label id=\"forminator-field-checkbox-2-3-6ab7113b680d4-label\" for=\"forminator-field-checkbox-2-3-6ab7113b680d4\" class=\"forminator-checkbox\" title=\"I am aware that, if shortlisted, the information contained within this form may be used to promote my participation in this awards scheme.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"I am aware that, if shortlisted, the information contained within this form may be used to promote my participation in this awards scheme.\" id=\"forminator-field-checkbox-2-3-6ab7113b680d4\" aria-labelledby=\"forminator-field-checkbox-2-3-6ab7113b680d4-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I am aware that, if shortlisted, the information contained within this form may be used to promote my participation in this awards scheme.<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_6ab7113b680d4\" id=\"forminator-field-text-4_6ab7113b680d4-label\" class=\"forminator-label\">Nominee\/ Nominator signature:<\/label><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"\" id=\"forminator-field-text-4_6ab7113b680d4\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_6ab7113b680d4\" id=\"forminator-field-text-5_6ab7113b680d4-label\" class=\"forminator-label\">Date:<\/label><input type=\"text\" name=\"text-5\" value=\"\" placeholder=\"\" id=\"forminator-field-text-5_6ab7113b680d4\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Submit<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"87efd0ceb3\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F223\" \/><input type=\"hidden\" name=\"form_id\" value=\"575\"><input type=\"hidden\" name=\"page_id\" value=\"223\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/temvelo.co.za\/?page_id=223\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Welcome to the Temvelo Environmental Awards nominations and applications portal. This page provides access to the official forms required to submit nominations, applications, and supporting information for the Temvelo Environmental Awards \u2013 Symposium &amp; Expo. Please select the relevant form below and complete all required sections carefully to ensure your submission is properly received and&hellip;&nbsp;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"","neve_meta_content_width":0,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","footnotes":""},"class_list":["post-223","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/temvelo.co.za\/index.php?rest_route=\/wp\/v2\/pages\/223","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/temvelo.co.za\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/temvelo.co.za\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/temvelo.co.za\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/temvelo.co.za\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=223"}],"version-history":[{"count":30,"href":"https:\/\/temvelo.co.za\/index.php?rest_route=\/wp\/v2\/pages\/223\/revisions"}],"predecessor-version":[{"id":2262,"href":"https:\/\/temvelo.co.za\/index.php?rest_route=\/wp\/v2\/pages\/223\/revisions\/2262"}],"wp:attachment":[{"href":"https:\/\/temvelo.co.za\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=223"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}