Neighbourhood Awards Nomination Form

It is our customers who bring a community to life – whether they are taking a neighbour shopping, or supporting the new neighbour next door or helping a friend with their garden.
Please include as much detail as you can to support your nomination and highlight the values that make them so special.

Who are you nominating?

NAME OF THE PERSON YOU ARE NOMINATING?*
First Last
PHONE CONTACT NUMBER*
EMAIL
Enter email address here Confirm email address here
Award Category - Category you are nominating them for:*
- Neighbour Achievement Award (Group Award)
- Good Neighbour Award
- Older Persons Champion
- Garden Of The Year Award
- Younger Persons Champion
- Home Carer Award
YOUR DETAILS*
Street Address ZIP / Postal Code
What did they do to make you want to nominate them?*
We will tell your nominated person that they have been selected. Are you happy for us to tell them their nomination came from you?*
(Optional)
Email address / Telephone Number (Your details)?

Neighbourhood Awards Nomination Form

Who are you nominating?

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