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The Care Awards Entry Form

Which award category are you entering?

Is this a self-nomination or are you nominating someone else?

Is this a self-nomination or are you nominating someone else?

What is the full name of the individual, team or organisation being nominated?

What is their job title, role or service type?

Which organisation, service or team are they part of?

Please provide the nominee’s email address and phone number.
If nominating someone else, include your own contact details too.

Where is the nominee, team or organisation based?

In 50 to 100 words, please summarise why this person, team or organisation deserves recognition.

Tell us why this nominee should win this category.
You could include:

what they have achieved how they have made a difference what makes them stand out how they reflect the values of compassion, dignity, excellence and community

What measurable or visible impact has their work had?
This could include outcomes, feedback, improvements, innovation, leadership or community benefit.

Please share one specific example that shows their impact in action.

Are these achievements from the past 12 months, or do they reflect longer-term contribution?

Do you have any supporting material you would like to include, such as testimonials, feedback, case studies, awards, results or links?

If nominating someone else, do you confirm that the information shared is accurate and appropriate, and that the nominee is aware where possible?

If nominating someone else, do you confirm that the information shared is accurate and appropriate, and that the nominee is aware where possible?

Do you confirm that you have not included unnecessary confidential or sensitive personal information?

Do you confirm that you have not included unnecessary confidential or sensitive personal information?

If shortlisted or selected, do you agree to the nominee name, organisation and entry summary being used in awards-related publicity?

If shortlisted or selected, do you agree to the nominee name, organisation and entry summary being used in awards-related publicity?