• Before you begin
• Your details
• About your nomination
• Last few things

Thank you very much for your interest in nominating yourself for the Healthy Ageing 50: a call for leaders transforming the world to be a better place to grow older!

This form is best filled out on a desktop computer or laptop and cannot be saved midway. Before continuing, please ensure that you have looked through the questions and prepared your nomination materials in advance.

You can download a copy of the full nomination form here.

Let's get started! First, please tell us a little about yourself:

I identify as:

• Woman
• Man
• Non-binary
• Other

I can best describe my sector as:

• Local Community
• UN Agency
• Civil Society Organization
• Older People's Association
• National Government
• Sub-national Government
• Academia
• Private Sector
• Health Care
• Social Care
• Other...

Thank you. Next, please give us a few more details about your nomination.

Which Decade action areas* are relevant for your work?

• Combatting Ageism
• Age-friendly Environments
• Integrated Care
• Long-term Care

* Click here to access a full definition of the four Decade action areas.

Of the Decade action areas you selected, which would you say is the most relevant for your work? The action area you select will be the primary category used to evaluate your nomination.

• Combatting Ageism
• Age-friendly Environments
• Integrated Care
• Long-term Care

Thank you for your time - we're nearly done.

To finalise the nomination, please confirm the following:

• By submitting a nomination, I am giving my consent for the submitted details to be published on the Platform and the websites of supporting organisations.

• I am happy to be contacted either via direct email, or through a Contact Form.

• I agree to the Platform's Terms of Use and Privacy Policy.