Nominate an Elder | Katha Hijo Ko

01

First, about you

So we know who sent the nomination and how to follow up.

Your full name · required

Email or phone · required Use whichever way you are comfortable being contacted.

How do you know the elder? optional

Family Friend Neighbour Community connection Work / professional I know of them, but not personally Other

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02

Now, about the elder

Basic details help us understand who and where they are.

Elder's full name · required

Approximate age · required The current project form accepts ages 75 and above.

Village / town + district · required

Gender · required

Male Female Other Prefer not to say

Who do they live with? optional This is only to help plan a respectful visit if the nomination progresses.

They live alone With family / others Not sure Prefer not to say

Access, health or disability considerations optional Only share what is useful for making a future conversation or visit safe and comfortable.

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03

What makes their story worth preserving?

This is the most important part. Write naturally—we are looking for meaning, not polished writing.

Has their story been recorded or interviewed before? · required

Yes No Not sure

Why should their story be preserved? · required

Think about the life they lived, what they remember, what changed around them, or what younger generations could learn.

Can you help us connect with them? · required

Yes, I can introduce you Maybe / I can try No, I cannot

Do they know you are nominating them? optional

Yes No Not sure

Do they appear to need financial support? optional This does not decide whether their story is selected. Choose “Not sure” if you do not know.

Yes No Not sure

Anything else we should know? optional

Please avoid sharing unnecessary private medical, financial or identifying details about the elder. The team only needs enough information to understand the nomination and plan respectful contact.

Step 3 of 3