Youth Showcase Awards - Nomination Form

If you are nominating a team or group, please state the name below and fill in the details at the bottom of the form as well as your details, thank you.

Details of Person you are Nominating

Your Details:

Details of Nominated Team / Group

Award Category

for helping others within the community or having a positive effect on the community i.e. through volunteering or fundraising.

for showing outstanding effort and dedication in any sport as an individual or a team.

for displaying a particular talent in any of the Arts - drama, music, dance, comedy, film, art and design, creative writing or literature.

for achievements as a group or working together as a group to achieve a goal.

for accomplishing a great achievement in challenging circumstances.

Why they should win an award

I consent for my information to be used in case Mole Valley District Council needs to contact me regarding my nomination. My information will not be supplied to any other organisations.