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PEOPLE WITH ‘COMMUNITY’ PASSION
NOMINATE YOUR COMMUNITY CHAMPION HERE

Please respond to the question.

Name of your Community Champion (This can be an individual or an organisation)


(Maximum 300 characters )

Please respond to the question.

Why do they deserve to be nominated?

(Please describe the work they do within the community or the support they give to the community and how it helps the community. Please include an example or examples of how the community benefits from what this person or this organisation does).


(Maximum 2000 characters )

Please respond to the question.

Contact details for your nomination (if you have them)


(Maximum 2000 characters )

Please enter your first name and last name

Your name

Please enter a valid telephone number

Your daytime telephone number

Please ensure you have entered and confirmed your email address correctly.

Your email address