I Love Clarkston Community Champion 2019 Nomination Form
Do you know someone who has improved the Clarkston community through their work volunteering or leadership? This is your opportunity to nominate them for the recognition they deserve. The I Love Clarkston Community Champion will be chosen by an independent panel, who will review all nominations before determining a shortlist from which the Champion will be crowned.

Please note that to ensure all nominees are reviewed in a fair and proper manner, the information given to the independent panel will not include names, ages or any other information which could lead to the identity of the nominee being revealed.

For more information, please email info@erbids.com.

Nominees Name *
Your answer
Nominees Age *
Tell us about your nominee. *
This is your opportunity to tell us more about the person you are nominating. You can tell us more about what they have achieved and anything else that can give the Committee more of a picture on who they are. Think of it as a mini-biography. You'll have an opportunity further in this form to explain why you have nominated them and how they have contributed to the community. Maximum 250 words.
Your answer
Why are you nominating this person? *
The Committee would like to know what you think makes this person a community champion. Consider how the community has benefited from their work. What makes this person unique? Are there specific examples of their work or projects they have contributed to that could support this nomination? Maximum 250 words.
Your answer
If you have any supporting documentation please include it here.
This can include links to Facebook or other social media channels, websites, press releases or any other information you feel could be relevant to this nomination.
Your answer
Describe your relationship to this person. *
Use the box below to explain how you know this person and how you became aware of their work which has led to this nomination. Your relationship with the nominee will have no bearing on the outcome of this nomination, it is simply to provide us with a better understanding of the nominators and nominees. Please note that we welcome nominations from family members and those you have a close personal relationship with. Maximum 250 words.
Your answer
Is your nominee aware that you are nominating them? *
Please provide us with your name. *
Your answer
Please provide us with your contact information; this can be your telephone number or email address. *
We may use this information to contact you at a later date regarding your nominee. By providing this information you agree to the organizing team potentially contacting you. All information is stored in compliance with GDPR regulation.
Your answer
Please use this box to provide us with any additional information that has not been covered above but you feel is relevant to your application.
Your answer
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