Make sure to fill in all the fields correctly and give precise answers. Your answers will be thoroughly examined by our Jury. We remind you that all candidatures must be sent at the latest by 15 September 2015.

Your contact details

Name

FMN (if applicable)

Address

City

ZIP/Postal Code

Country

Email Address

Phone Number (incl. prefix)

You are...

CONU

FMN

Club

Promoter

Organiser

Circuit

Manufacturer

Competitor/Rider

Team

Individual

Other (please specify)

Is your project related to a specific discipline? If yes, to which discipline:

Road Racing

Motocross

Trial

Enduro

Cross Country Rallies

Bajas

Speedway

Other (please specify)

What is the geographical scope of your project?

Global

Continental

National

Regional

Local

What is the scale of your project?

How many stakeholders were engaged in your project?

How many people directly benefited from your project?

Describe briefly your project/initiative indicating the general scope and objectives

Illustrate/explain the results achieved thanks to your project

Show how your project has concretely contributed to improving women's presence in motorcycling

Do you think your project has the potential for a wider application?
If yes, explain why and how.

Do you think your project is replicable/applicable in other regions or disciplines.
If yes, explain how.

Does your project specifically raise awareness of women in motorcycling?
If yes, explain how.

Should you win the 2015 FIM Women in Motorcycling Award, how would you invest the prize money?
Give specific examples.

Feel free to share with us all relevant facts/references supporting your candidature