Confidential Nomination FormBOROUGH CREST LOGO CMYK

Chelmsford Awards for Voluntary Service 2016/17 

Before completing this form please read the eligibility criteria carefully

Please DO NOT tell the volunteer that they have been nominated until an Award is made.

Nominators Details

Organisation Details

Where the individual volunteers and to confirm the information given in support of the nomination

Details of the person you are nominating for this award

Short description of their volunteering (max 50 words)

What makes this volunteer stand out? (max 100 words)

Please keep to the word count. Additional paperwork and statements cannot be considered.

Please ensure all textboxes are extended so that all text is visible on the print out.

Completed forms should be printed and posted or delivered to:

Chelmsford Centre Supporting Voluntary Action, Burgess Well House, Coval Lane, Chelmsford CM1 1FW. Nomination Forms must be received by 10am on Tuesday 31 January 2017.