NOMINATION FORM – PHENOMENAL WOMEN 2026

Nomination Form — Phenomenal Women 2026/BENOEMINGSVORM - FENOMENALE VROUE 2026

Who Are You Nominating?/Wie Benoem Jy?

Name/Naam

Surname/Van

Cellphone number/Selfoonnommer

E-mail address/E-posadres

Occupation/Beroep

Employer/Werkgewer

Your phenomenal woman can be part-time/full-time (self)-employed OR unemployed/Fenomenale vrou kan voltyds/deeltyds in (eie) diens OF werkloos wees

Home address (Nominee must be resident of the Cape Winelands)/Huisadres (Benoemde moet inwoner van Kaapse Wynland wees)

Address/place (where the phenomenal service is delivered)/Adres/plek (waar die fenomenale diens gelewer word)

Category/Kategorie

Refer to the categories section below for descriptions/Verwys na kategorieë op bladsy 3

Phenomenal Woman Description/FENOMENALE VROU-BESKRYWING

Use the guide below to tell us why she is a phenomenal woman in the category you have chosen./Gebruik die gids hieronder en vertel ons hoekom sy 'n fenomenale vrou is in die kategorie wat jy gekies het.

Personal growth/Persoonlike groei

How has she grown in her personal journey and what challenges has she overcome?/Hoe het sy gegroei as persoon en met watter uitdagings?

Mentorship and leadership/Mentor- en leierseienskappe

What qualities does she have and how does she share her knowledge and support others?/Wat is haar lewenskwaliteite en hoe deel sy haar kennis en bied ondersteuning?

Economic upliftment and skills development/Ekonomiese opheffing en vaardigheidsontwikkeling

How does she contribute to the community?/Watter bydrae lewer sy tot die gemeenskap/veld van belang?

Interpersonal skills/Interpersoonlike vaardighede

How does she relate to and interact with those around her?/Hoe is haar ingesteldheid en verhoudinge teenoor ander?

Community impact/Gemeenskapsimpak

How does she improve the lives of people and create positive changes?/Hoe verbeter sy lewens en bring 'n positiewe verandering teweeg?

Tell Us About Yourself, The Nominator/VERTEL ONS OOR JOU, DIE BENOEMER

Name/Naam

Surname/Van

Cellphone number/Selfoonnommer

E-mail address/E-posadres

Relationship to the nominee/Verwantskap aan benoemde

For instance friend, colleague, acquaintance, family member, other/Byvoorbeeld vriendin, kollega, kennis, familielid, ander

I confirm that I have informed the candidate of this nomination and that she agrees to the rules./Ek bevestig dat ek die kandidaat van hierdie nominasie in kennis gestel het en dat sy met die reëls instem.

Rules

No panel member or employee of the ATM, CWDM or Historium Trust or their immediate families may take part or nominate persons.
Nominees must be residents of the Cape Winelands District Municipality (CWDM).
Nominees must be available to attend the gala event on Tuesday, 25 August 2026.
Nominees must have a contactable telephone number.
Finalists must be prepared to participate in interviews and filming for use on media platforms.
Previous winners may not be nominated again.
Entries close on 21 July 2026 at 16:00. No late entries are accepted.
Judges have the discretion to move nominee entries to another category if more appropriate.
Judges have the discretion to remove categories if there are not enough nominees in that specific category.
The judges' decisions are final and no correspondence regarding it will be entered into.

How to Enter

Three ways to get the entry forms:

Visit capewinelands.gov.za and click on the Phenomenal Women banner to complete the free nomination form online or to download the entry form.
Go to the following institutions and get a printed entry form: Any CWDM office or Historium Conference Centre, 11 Pastorie Avenue, Paarl.
WhatsApp PHENOMENAL WOMAN to 076 017 6026 to receive the form.

NOMINATION FORM – PHENOMENAL WOMEN 2026

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