Chairman's Community Awards 2018

The Chairman of the District of Derbyshire Dales, Councillor Steve Flitter, invites nominations for the 2018 Community Awards.

Please nominate someone in Derbyshire Dales who deserves recognition for the work that they do in their local community. They may be the driving force behind a local organisation or an individual who goes out of their way to help others or improve local facilities or the environment.

Please note that both the person who is making the nomination and their nominee must be resident in Derbyshire Dales. Nominees must NOT be previous recipients of a Chairman’s Award.

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* 1. Your details

Your name

Your address

Your telephone number

Your email address

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* 2. The person you are nominating

Nominee's name

Nominee's address

Nominee's phone number

Nominee's email address (if known)

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* 3. Tell us why you think your nominee deserves an award. Focus on the special qualities they have and the work they do, on a voluntary basis, to enhance individual lives, local organisations or their community as a whole.

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* 4. Can you identify a local event/meeting that your nominee will be attending? We would like, if possible, to make a surprise presentation if your nomination is successful.

Yes

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* 5. If you answered 'yes' to the question above, please complete more details of the event below.

Event name

Event venue

Event date

Event time

All personal information provided to Derbyshire Dales District Council will be held and treated in confidence in accordance with the Data Protection Act 1998. It will only be used for the purpose for which it was given.