Wells City Council Wells Civic Awards – Nomination Form

Nominations are limited to one per award, per Wells resident. In order to ensure this, we will require

Your surname: _____________________________________ Postcode: ______________________

Your nominations (you do not need to nominate in every category) l Citizen of the Year:

Name of nominee:_________________________ l Volunteer of the Year:

Reason for nominating:

Name of nominee:_________________________ Reason for nominating:____________________________________ l Community Organisation of the Year:

Name of nominee:_________________________ l Business of the Year:

Reason for nominating:

Name of nominee:_________________________ Reason for nominating: l Senior Sportsperson of the Year (18 or over):

Name of nominee:_________________________ Reason for nominating: l Junior Sportsperson of the Year (under 18):

Name of nominee:_________________________ Reason for nominating: l Young Person of the Year (under 18):

Name of nominee:_________________________ Reason for nominating: l Environmental Champion:

Name of nominee:_________________________ Reason for nominating: l Extra Mile Award:

Name of nominee:_________________________

Reason for nominating:

If your nominees are selected, we may need to contact you either by Telephone or Email for further information. Please fill in the sections below. If you do not wish to be contacted, simply leave these sections blank.

Telephone:____________________________ Email:_______________________________________

Please return to reception at Wells Town Hall or submit your form online via: surveymonkey.co.uk/r/WellsAwards2023

To advertise, contact Andy on 01749 675157 Email: sales@wellsvoice.co.uk