Nomination Form for The Mayor of Eastleigh’s Youth Award for volunteering 2019 – supported by Eastleigh Lions and One Community Name of young person
The Mayor of Eastleigh’s Youth Award for volunteering 2019
Age
Contact details Nominator’s name Contact details Have you told the young person you are nominating them? Yes
No
Have you ensured their parent/carer is aware you are nominating them? Yes
No
In what capacity do you know this young person (e.g. Scout Leader, Youth Worker)? Please sign
For how long? Date
Which award are you nominating them for? Please tick Gold (at least 100 hours)
Silver (at least 50 hours)
Please give details of their volunteering and the hours they have volunteered. (max. 150 words)
2019 Celebrating volunteering
The Lions Club
All forms must be returned, marked ‘Youth Award’ to One Community, 16 Romsey Road, Eastleigh, SO50 9AL or email: info@1community.org.uk by 26 April 2019
of Eastleigh