Congleton Town Mayor's Civic Awards Nomination

2025 Congleton Town Mayor's Civic Awards Nomination Form

Please complete the form below to submit your nomination.
Your Details

*You must be over 16 years of age to nominate someone.
Full Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email Address*

Confirmation Emailexample@example.com
Which Award are you nominating the person for?*

Community Involvement AwardYoung Volunteer AwardArt & Culture AwardEnvironment AwardWellbeing AwardGood Neighbour Award
Nominee Details

*Remember you are unable to nominate yourself and you must have permission from the person you are nominating.
Full Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email Address*

Confirmation Emailexample@example.com
Why do you think the above named person should receive this award?*

up to 100 words0/100
Please explain how the voluntary work of this nominee is sustainable and inclusive*

up to 100 words0/100
Do you have the nominee's permission to submit their information to be held and used by Congleton Town Council to administer the awards*

YesNo
We value your privacy. Congleton Town Council will only use the details you have provided here to process the awards and contact you and the Nominee about the awards ceremony.
I would like to receive general information from Congleton Town Council by email in the future.*

YesNo
Date of Submission*

DayMonthYear
Date
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