This form is designed to provide information about your nomination for the judging panel at the 2022 Celebrating Neurodiversity Awards.

We kindly ask that you submit as much detail as possible to help our judges, as we want every nominee to have the best possible chance of winning.
Your information

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* 1. Your name

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* 2. Your email address

About your nominee

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* 3. Name of your nominee

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* 4. Nominees email address

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* 5. Nominees website address (if applicable)

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* 6. If the nominee is under 18, please tick to confirm that you have obtained permission from the parent/guardian to submit this nomination

Your nomination

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