Nominate a Councillor:

Please fill in the form below to nominate the councillor you think deserves recognition for their hard work and successes - it should take around 5-10 minutes to complete.

By filling in this form, you agree that we may contact you to verify the credibility of your nomination. We welcome nominations from anyone – councillors, officers, MPs, residents or other stakeholders – but please note that councillors may not nominate themselves.

Award Categories:

Community Champion
Health integration
Leader of the Year

You can read more about the award categories on our website.

The deadline for nominations is 20th September 2018. Please read the rules of the competition before starting.

This year's awards are kindly supported by CCLA
About the Councillor

* 1. Councillor's first name

* 2. Councillor's last name

* 3. Councillor's email address

* 5. Link to councillor's profile on the council website

About You

* 6. Your first name

* 7. Your last name

* 8. Your email address

* 9. Your phone number

* 10. Your relationship to the nominee councillor

Nomination Details

* 12. Tell us more about this councillor. You might like to give some background to their life, their roles within the council, how long they have served on the council, how you came to know them, etc. (200 words)

* 13. Why you think they deserve to win? What makes this councillor stand out? Please be as specific as possible and use examples of work they have done, so as to differentiate them from other candidates (200 words)