Community Hero Nomination Form

Name of person being nominated* (Please note: This person cannot be someone who has won within the last 5 yrs, a list can be found on the parish council website under the "Community Hero Award" page)

Their Address* (inc. postcode)

Their Tel. No.

Their Email

Please give details of why you are nominating this person – what voluntary work have they undertaken for the benefit of the residents of Crigglestone Parish?

Please tell us about you, the nominator (Nominators do not need to live in the parish but should not be related to the recipient):

Your Name*

Your Address* (inc. postcode)

Your Email*

Your Tel*

Please give the name of another person who supports this nomination (Supporters do not need to live in the parish and should not be related to the nominator nor recipient). :

Supporter Name*

Supporter Address* (inc. postcode)

Supporter Email*

Supporter Tel*

Please confirm you are happy for the information you have filled out on this form to be kept for as long as is necessary to process your request, at which point it will be deleted when no longer required as per GDPR guidelines