Please fill out the details below to make your nomination for 2019's Charnwood Community Heroes. 

Make sure to keep up to date with the latest Charnwood Community Heroes news by following the Council on Twitter @CharnwoodBC and look for the hashtag #CharnHeroes. Or visit the Charnwood Community Heroes Facebook page www.facebook.com/CharnwoodCommunityHeroes.

About you

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* 1. Your name

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* 2. Postcode of where you work or live (this must be in Charnwood)

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* 3. Your Contact Email

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* 4. Your Contact Phone Number

About the Nominee

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* 5. Name of the person or group you are nominating

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* 7. Nominee's email address

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* 8. Nominee's telephone number

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

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

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* 11. Photo of nominee

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Permissions

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* 12. 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 Heroes Day, including social media and newspapers. 

*Subject to our also getting the agreement of the nominee.

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* 13. Where did you hear about Charnwood Community Heroes?

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