Screen Reader Mode Icon

Question Title

* 1. I wish to nominate (please state name of cylch / person you wish to nominate)

Question Title

* 2. Name of Cylch Ti a Fi / Cylch Meithrin / Meithrinfa Ddydd

Question Title

* 3. Your Name
(We may wish to contact you about your nomination)

Question Title

* 4. Email Address
(to contact you with the latest information about your nomination)

Question Title

* 5. Category
(Please select which category you with to nominate)

Question Title

* 6. Here is an opportunity for you to support your nomination with suitable reasons, they will help to give the panel a better picture of the cylch/nursery/person.
Add 3 reasons

Reason number 1 for nominating

Question Title

* 7. Reason number 2 for nominating

Question Title

* 8. Reason number 3 for nominating

Question Title

* 9. You may upload up to 3 images to support your nomination.
This is not compulsory as part of the nomination but can help the judging panel in their decision. Please ensure you have permission to share this images.

Photo 1

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

Question Title

* 10. Photo 2

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

Question Title

* 11. Photo 3

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File
0 of 11 answered
 

T