LWOP Award nomination form 2011

THE PEACE AWARDS 2012 NOMINATION FORM
PLEASE CHOOSE THE PEACE AWARD CATEGORY YOU WISH TO ENTER FOR:
SELECT AWARD :

BRAVERY AWARDCOMMUNITY SAFETY AWARDDIVERSITY AWARDLONDONERS PEACE AWARDBRIDGE BUILDERS PEACE AWARDCOMMUNITY ENGAGING AWARDTURN AROUND PEACE AWARDYOUNG PERSON PEACE AWARDDREAM (Develop Real Examples and Mentors) AWARDTEAM LONDON VOLUNTEER AWARD
About The Nominee (Self nominations will not be accepted)
Nominee's Name*
Nominee's Address*
Postcode*
Daytime Tel.No.*
Mobile No
Job Title*
Organisation*
Nominee's Email*
In no more than 300 words giving an overview, please describe why the nominee deserves this award.
About the Nominee*
In no more than 150 words, please describe the activity the nominee is involved in and the impact it has had that has led to this nomination.
Nominee Activity*
About You
Your Name*
Relationship to Nominee*
Address*
Job Title*
Organisation*
Daytime Tel*
Mobile No
Your email address*
Declaration*

I hereby certify that the information given on this form is correctI have read and agree to the terms and conditions of submitting a nomination for The Peace Award
*
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THE PEACE AWARDS 2012 NOMINATION FORM