Please check the eligibility criteria before making a nomination. Please submit this form by 5pm on Thursday 6 June 2024. Who would you like to nominate for an award? Nominee Details Their first name * Their last name * Their address line 1 * Address line 2 Address line 3 The town they live in * Their postcode * Phone * Email * Their age (if U18) We will also need your details. Person nominating Your first name * Your last name * Your address line 1 * Address line 2 Address line 3 The town you live in * Postcode * Phone * Email * Your relationship to who you are nominating (for example, friend, colleague, relative) * Which category would you like to nominate them in? Please select the category * Please selectCommunity ChampionYoung ChampionCaring ChampionSports ChampionArts & Heritage ChampionSustainability Champion Reason for your nomination What has the person you are nominating done, and what makes them special? * Data Protection Statement We will be using the data to contact those whose nominations are successful. For full details of how we will use your data please visit the surveys privacy notice. Submit