Mole Valley Youth Awards 2019 - 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.

Your Nominee

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 a special contribution to visual arts or crafts.

for creative cooking or baking.

for displaying musical ability in any instrument or voice.

for creative ability within any dance genre.

for outstanding talent in the dramatic arts.

for working together as a group to achieve a goal.

for achieving something great or inspiring others 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. Please note that all this information will be deleted after the event.