2015 CITI MICROENTREPRENEURSHIP AWARDS

MFI MONITORING FORM

(To be accomplished by management of the MFI)

Name of microfinance institution:__________________________________________________________________

Address of institution: ___________________________________________________________________________
Microentrepreneur of the Year
Rank
1
2
3
4
5
6
7
8
9
10

Name of Nominee

Special Award for Agri Microbusiness

Rank
Name of Nominee
1
2
3
4
5
1
2
3
4
5

Special Award for Product

Innovation
Rank
Name of Nominee
1
2
3
4
5

Community Leadership Award

Please provide data for 2015 Total number of nominations received by the MFI:

Microentrepreneur of the Year

Special Award for Agri
Micro-Business
Special Award for Product
Innovation
Community Leadership Award
Total

Number of loan officers that submitted nominations this year: ____________

Submitted by:
Signature over printed name

Note to the network:

A partnership among:

Submit this MFI Monitoring Form together with the nomination forms, write-ups,
and pictures of your nominees for each category to your network on or before July
13, 2015.