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Nominees name or team name*
If you are nominating a team, who is the main contact?
Which site does your nominee work at?*
Please choose one site from the list below:BridlingtonCommunity basedMaltonSt Helen'sSt Monica'sScarboroughSelbyWhitecross CourtYork
Reason for nomination: to ensure that your submission is your best work, take a look at our top tips for completing your nomination in the nomination brochure.
Your email address
Contact phone number*
You will receive receipt of your nomination
Your nominee will be informed of your nomination
Judging takes place throughout July 2019
If your nomination is successful in being chosen as one of the top three for this category, you will be invited to come to York Hospital to make a small film clip about your nominee which will be used as part of the presentation ceremony. You will also receive an invitation to attend the presentation ceremony on Thursday 17 October 2019 at Scarborough Spa.
Invitations will be sent out by 13 September 2019
The Trust uses nominations in a number of ways in order to represent the services we deliver, including in printed information, displays, exhibitions, on our website and on social media. Occasionally we may contact you with opportunities to submit your nomination for other award schemes.
By submitting this form, you agree that your nomination can be used for these purposes by the Trust. We reserve the right to continue to use the nomination until you advise us otherwise.
I give my consent as indicated above*
If you have any questions regarding any part of the above process, please contact Helen Greenley, Events Coordinator, email@example.com or 01904 726491
* required fields
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