Haringey Community Impact Awards 2017 Nomination Form

Thank you for your nomination for the Haringey Community Impact Awards. For full details of the awards categories and how to complete this form please see our website here

Deadline for submission of nominations: Monday 23 October 2017 at 5pm

* 1. Nominee details

* 2. Award category: (please tick)

* 3. Reason for nomination: Max. 2000 characters, (approx. 300 words), please refer to the award criteria

* 4. Nominated by

* 5. References (if applicable)