Fillable PRIDE OF MELTHAM AWARD NOMINATION / SERVICE TO (Meltham Town Council)

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PRIDE OF MELTHAM AWARD NOMINATION / SERVICE TO (Meltham Town Council)

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The PRIDE OF MELTHAM AWARD NOMINATION / SERVICE TO (Meltham Town Council) form is 3 pages long and contains:

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  • 13 other fields

Country of origin: UK
File type: PDF

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PRIDE OF MELTHAM AWARD NOMINATION / SERVICE TO
COMMUNITY AWARD NOMINATION
Section One: About the nominee
1. Name of the group you are nominating (for group award)
2. Name of the person you are nominating (for individual award)
3. Postal address of nominee
4. Daytime contact number of nominee
5. Email address of nominee
6. Name and address of organisation the nominee works / volunteers for (for
individual award)
Section Two: Reasons for nominating
7. Please explain why you are nominating this individual / group
(Maximum 500 words)
For example:
• describe how their achievements are outstanding.
• describe how their work has directly impacted on the community and helped
improve life for people in Meltham.
• describe what services they have provided for the Community and for how long.
Section Three: About you (the person making this nomination)
8. Your name
9. Your address
10. Your daytime contact number
11. Your email address
Section Four: Declaration
I have read and accepted the guidelines and nomination rules and agree to be bound by
them.
I confirm that (please tick)
I am not related to the person I am nominating
I am not related to any council member or officer
I agree to future communication from the Council in connection with this matter
The individual / group I am nominating is agreeable to being nominated and
consents to future contact by the Council
Signed:
Date:
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PRIDE OF MELTHAM AWARD NOMINATION SERVICE TO (Meltham Town Council)

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Completed 20 January 2021

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