PETERBOROUGH ROYALTY - Nominations form 2022

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PETERBOROUGH ROYALTY - Nominations form 2022

PETERBOROUGH ROYALTY - Nominations form 2022

14Questions

1
Your Name
First Name
Last Name
2
Email
example@example.com
3
What is your postcode?
4
Name of the person you would like to NOMINATE
First Name
Last Name
5
In brief, tell us why you would like to nominate this person - up to 15 wordsWhat act of kindness have they done for you or your community in the last 2 years? This description might be displayed publicly. There is room for a longer description in the next question.
6
Tell us more about why you would like to nominate this personYou have up to 150 words here. The more you tell us, the more information our illustrators have to create the artwork
Huge
Large
Normal
Small
Ok
Ok
7
If you can, please attach a photo of the person you are nominating. This isn't essential but the artist may use your photo to draw a picture of them as part of the artwork. The actual photo won't be used. The image will be deleted after the project has ended.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
8
If you are under 16 years old: Name of your adult / guardian
First Name
Last Name
9
If you are under 16 years old: Email of an adult / guardian
example@example.com
10
A BIT ABOUT YOU: What is your gender?'Cis' is a term for people whose gender identity is the same as their sex assigned at birth.
Female / Cis Female
Male / Cis Male
Non-binary
Not known
Prefer not to say
11
How would you describe your sexual orientation?
Heterosexual / straight
Bisexual
Gay Man
Gay Woman / Lesbian
Other
Prefer not to say
Not known
12
What is your age?
0 - 19
20 - 34
35 - 49
50 - 64
65 - 74
75+
Prefer not to say
13
How would you describe your ethnicity?
Asian or Asian British
East Asian or East Asian British
Indian or Indian British
Black or Black British
Hispanic or Hispanic British
Latinx or Latinx British
African or African British
Caribbean or Caribbean British
American or American British
European or EU British
Mixed Heritage
Multiple Ethnic Backgrounds
White or White British
Gypsy or Irish Traveller
Irish
Pakistani
Chinese
Prefer not to say
14
Are your day to day activities affected because of a physical or mental health condition or disability?
No
Yes - a little
Yes - a lot
Prefer not to say
Not known
Should be Empty:

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