Make your nomination for your community star. Please fill out the details below to tell us about someone who has helped you during the coronavirus pandemic.

Make sure to keep up to date with the latest Charnwood Community Action news by following the Council on Twitter @CharnwoodBC or visit the Charnwood Community Action webpage www.charnwood.gov.uk/cca.
About you

Question Title

* 1. Your name

Question Title

* 2. Postcode of where you work or live.

Question Title

* 3. Your Contact Email

About the Nominee

Question Title

* 4. Name of the person, community group or organisation you are nominating.

Question Title

* 5. Nominee's contact details (This can be Facebook page, email address, phone number, etc.)

Question Title

* 6. Does the person or group you are nominating live or work in Charnwood?

Question Title

* 7. Please explain the reason(s) for this nomination in no more than 250 words

Question Title

* 8. Photo of nominee

PDF, PNG, JPG, JPEG file types only.
Choose File
Permissions

Question Title

* 9. By checking the box below you are giving your *permission for us to use the picture; your reason for nominating and your name in publicity relating to Charnwood Community Action, including social media and newspapers. 

*Please make sure you have obtained the persons permission before uploading a photo.

Question Title

* 10. Where did you hear about Charnwood Community Action?

T