Ukraine Shortlist – Charity Nomination Form

Thank you for your interest in the Ukraine Shortlist. This form is the official way to nominate a Ukrainian civil society organization for consideration. All applications are reviewed by category representatives.

Please note: Emailing individuals, including Oleksandra, outside of this process will not improve your chances and may delay your application. Submissions must go through the form and will be assessed by the relevant category representative.

Organisation Name

Your Name

First Name

Last Name

Position

Phone

(###)

###

####

Organisation Website

http://

Legal registration number (ЄДРПОУ or equivalent)

Registered address (city, region, country)

Which category best describes your organization's work? (Check all that apply)

Children and Youth

Women's Rights

Mental Health and Trauma

Education and Training

Humanitarian Relief

Veterans and Families

Rebuilding and Infrastructure

Other

If 'Other' please specify

Briefly describe your organisation’s mission (max 150 words)

What are your main activities and services? (max 300 words)

Who are your primary beneficiaries? (e.g. children, IDPs, women, elderly, veterans)

Approximate number of beneficiaries reached in the past 12 months

Geographic areas served (oblasts, cities, rural areas, etc.)

Why do you want to be included in the Ukraine Shortlist? (max 200 words)

How would visibility, partnership, or support from this initiative help your work?

Links to press coverage or endorsements