CPRE Derbyshire and Nottinghamshire Living Countryside Award Nomination Sheet
In partnership with Derbyshire Association of Local Councils and Nottinghamshire Association of Local Councils
Please select the category you wish to nominate
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Inspiring Group
Trail Blazer
Derbyshire and Nottinghamshire Captured
Centenary Award: Green Space Stewardship (Councils and Councillors)
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Are you nominating
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yourself/a group or Council you are a member of
another person/group/Council
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Please provide the name of the individual, group, or business you are nominating
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Please provide details of the nominee and at least one recent achievement that highlights their impact. No more than 500 words.
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Your contact details: Please provide the contact details you wish to be contacted by
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The Nominee's contact details (if different from the above). Please provide the contact details you wish to be contacted by
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If the nominee has a website and / or social media accounts please link them below.
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Would you like to receive CPRE Derbyshire and Nottinghamshire's newsletter?
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Where did you hear about us?
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To add photos or files, please upload files below. If you are submitting photos for the Derbyshire and Nottinghamshire Captured Category, please select a maximum of three photos in JPEG format. The total files size cannot exceed 16MB. If you are sending files by email, please put the name of the nominee in the email title so we can link your photo(s) to your nomination.
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