THE MAYOR’S CITIZEN AWARD 2004

THE MAYOR’S CITIZEN AWARD 2008

I would like to nominate:

NAME…………………………………………………………………………………...…....................

ADDRESS……………………………………………………………………………………………….

………………………………………………………………TELEPHONE NUMBER……………....

PLEASE GIVE THE REASONS FOR YOUR RECOMMENDATION INCLUDING WHETHER THEIR WORK IS VOLUNTARY OR PART OF PAID EMPLOYMENT, THE NUMBER OF YEARS THEY HAVE BEEN INVOLVED, THE TIME , RANGE AND NUMBER OF COMMITMENTS EACH WEEK, EFFORT INVOLVED, WHAT SUPPORT THEY HAVE, AND THE NUMBER OF PEOPLE WHO HAVE BEEN HELPED.

REASONS FOR RECOMMENDATION……………………………………………………………..

……………………………………………………………………………………………………………

YOUR DETAILS:

NAME…………………………………………………………………………………...….....................

ADDRESS……………………………………………………………………………………………….

………………………………………………………………TELEPHONE NUMBER………………..

Relationship to the person you are nominating…………………………………………………………..

Please return this form to the Mayor’s Office, Guildhall, Bath, BA1 5AW by 29 February 2008.