Cornwall Celebrates Volunteering Nomination Form

Details of the person you wish to nominate:

Surname (required) : First Name (required) :

Address (required) :

Postcode (required) :

Tel. No (Day) (required) : (Evening) (required) :

Email Address :

Gender (required) :  Male Female

Age (required) :

Please state name of Charity/Club/School/Organisation/Community Group/Other that they volunteer for :

Category you wish to nominate them for (see nomination pack if unsure but only select one) : ---Young VolunteerVulnerable Adult*Work Focused VolunteerSchool VolunteerVolunteer DriverVolunteer LearnerVolunteer Supporting EldersHealth VolunteerCommunity VolunteerEnvironmental VolunteerSports VolunteerCommunity Safety VolunteerCultureHost of the year

Your Details

Surname (required) : First Name (required) :

Address (required) :

Postcode (required) :

Tel. No (Day) (required) : (Evening) (required) :

Email Address :

I wish to submit my nomination as above and confirm that to the best of my knowledge the details given in support of this nomination are accurate. I have told the person I am making this nomination. I understand that the selection panel’s decision is final and that no correspondence will be entered into.

I consent to the information I provide herein being held and used by Volunteer Cornwall and its partners for the legitimate purposes of the Cornwall Celebrates – Volunteering event and for no other purpose. All such information will be handled, stored, shared and disposed of only in accordance with the Data Protection Act 1998.

Tick here to confirm you have read and agreed to the terms & conditions above:

Now tell us the 'story' of the person you want to nominate

Please outline the reasons this person is outstanding in the award they are being nominated for, include time spent volunteering compared to time available, barriers overcome, how they have helped others to volunteer, achievements, successes and projects worked on (please use the information about each award as a guide) maximum 500 words (required) :

Thank you for taking the time to fill out the nominations form, please make sure you have filled out as much information as possible then complete the spam check field then click the submit button to complete your nomination

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