ABOUT YOU

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* 1. What is your name?

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* 2. What is your address?

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* 3. What is your phone number?

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* 4. What is your email address?

ABOUT THE PERSON OR GROUP YOU ARE NOMINATING

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* 5. What is the name of the person or group you are nominating?

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* 6. What is the address of the person or group you are nominating?

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* 7. What is the contact telephone number of the person or group you are nominating?

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* 8. What is the email address of the person/group you are nominating?

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* 9. What is the age(s) of the person/group you are nominating?

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* 10. Is the person or group you are nominating a Wales & West Housing resident?

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* 11. Photographs are to be submitted to awards@wwha.co.uk or please supply them on a disk/memory stick to the PR & Comms Team ASAP.

I have submitted a photograph(s)

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* 12. Which category are you nominating them for?

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* 13. What has this person/group done to deserve an award? (Please describe what they have done for you and/or your community that makes them stand out from others, giving examples where possible. For example, what was the situation like before? 100 -250 words max)

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* 14. How has their action made a difference to you, your neighours and/or your community? (Please give examples where possible, tell us about the impact their actions have had on their lives and those of the people around them and/or the wider community 100 -250 words max)

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* 15. Why do you think this person or group should win?  What have they done that goes beyond? Have they overcome any barriers to get where they are? What challenges did they face and how did they succeed? 100 -250 words max)

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* 16. Please give any comments or feedback from others in the community to support the nominee. (comments 100 - 250 words max)

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* 17. Is there any of the information that you have given above that you would not want publicised or mentioned during the awards ceremony or in promotional materials? If so, please specify below.

Nominations close on Friday 16 November 2018

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