Exit SHERO NOMINATION FORM Question Title * 1. Name and Surname (Nominator) Question Title * 2. Department of Nominator Question Title * 3. Name and Surname (Nominee) Question Title * 4. Department of Nominee Question Title * 5. Did your colleague (nominee) give CPUT her consent to use the information provided to post on Social Media Yes No Question Title * 6. Designation of Nominee Question Title * 7. Nomination (maximum 850 characters) Question Title * 8. Please attach a picture of the nominee when submitting this nomination. Only PNG, JPG, JPEG, GIF files are supported. PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Only PNG, JPG, JPEG, GIF files are supported. 100% of survey complete. Done
