THE MAYOR’S CITIZEN AWARD 2011

 

I would like to nominate:

 

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

 

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

 

………………………………………………………………TEL NO  …………………………...

 

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.

 

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YOUR DETAILS:

 

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

 

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

 

………………………………………………………………   TEL  NO  ………………………..

 

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

 

Please return this form to the Mayor’s Office, Guildhall, Bath, BA1 5AW by 9.00 am on 28 February 2011.