Name of Nominee * Please provide the name and contact details of the individual, team, business or organisation that you are nominating for the Awards. Address of Nominee E-mail of Nominee * Telephone Number of Nominee * Please print clearly how the name needs to appear on the certificate * Award Categories: please choose one from the list below - None -The Peter Duppa-Miller AwardThe Beryl Dixon Community Leader of the YearCharity of the YearThe Willson Volunteer of the Year AwardYoung Volunteer of the YearVolunteer Team of the YearYoung Volunteer Team of the YearCarer of the YearYoung Carer of the YearGreen Business Leader of the YearThe Healthier Business Award Tell us about the nominee (see guidance notes to help you describe your nominee) (in no more than 1,000 words) * Please include details about what the nominee has done over and above their normal role, job or volunteering, what impact they have made and why you would consider them worthy of an award, including any testimonials from others. What were the effects/outcomes/results/actions of the nominee/s and how they have made a difference (in no more than 500 words) * Nominators Name * Please provide your name and contact details: Nominators Address Nominators Telephone Number * Nominators E-mail * Consent, please tick to confirm * I confirm that I have read and understood the terms and conditions of the Awards and have informed my nominee of these conditions. I confirm that I have obtained consent from the nominee to nominate them and that they agree for their details to be included within this nomination. For nominations under 18 years old * I confirm that I have obtained consent from the parent or guardian of the nominee to nominate them and that they agree for their details to be included within this nomination Not applicable Please tell us how you heard about the Awards Privacy notices
