Community Champion Award Nomination QUESTIONS / ANSWERS Name * First Name Last Name Email * Your job title * Your organisation * A FEW QUESTIONS ABOUT THE NOMINEE Who are you nominating (Full name) * Nominee's job title * Nominee's email address (for shortlisting notification) * Reason for nomination Describe this person in one sentence Nominees's length of service At least one example of selfless commitment to supporting the wider community in which they serve and inhabit. Demonstration of passion and pride for their role in supporting the community around the control room. * Real-life examples of praise from members of the community about the individual with details of the circumstances. Additional information you'd like to tell us If you would like the nominee(s) to receive a certificate for being nominated please provide an address Address Address 1 Address 2 City State/Province Zip/Postal Code Country Thank you!
