H&F Civic Honours nomination form

Information about your nomination

Name of the person or group you are nominating *

THEIR postal address *

THEIR email address

Which category are you nominating them for? *

See a reminder of the full category list if you need help selecting the most appropriate category.

The category you are nominating them for (required) *

Most dedicated volunteer

Bringing people together

Community organiser

Acts of compassion

Contributions to art, culture or heritage

Contributions to health and well-being

Improving our environment

Lifetime achievement

Why are you nominating them? *

Please tell us in 200-300 words. Only include information that is directly relevant to the nomination. Any information that is personal or not relevant (such as health information, details on sexual orientation or criminal history) will be deleted before your nomination is sent to the judging panel. Please ensure that you give us enough information about the person or organisation you are nominating for the judges to be able to make a fair decision. If your nomination does not include sufficient details, it will not be considered.

Please tell us in 200-300 words why you are nominating them *

Your contact details

YOUR name *

YOUR email address *

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H&F Civic Honours nomination form

Start of the nomination form

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H&F Civic Honours nomination form

Start of the nomination form

Are you happy for us to share your contact details with the person you are nominating?

Do we have your consent to contact you with any query regarding your nomination?