Rural Community Business Awards                                    Community Contribution nomination form 

The Community Contribution Award is kindly sponsored by

Your details

First name:

Last name:

Your email:

Your phone number:

How are you involved in the community business? Are you a customer, committee member, volunteer etc:

Community Contribution award nomination

Please tell us who you're nominating for the Community Contribution award?

Which community business are they involved in? 

Is this business a community-owned business which uses a legal structure CBS, CIC or IPS?

YesNo

Please provide the community business address

Please provide as much detail as possible to allow us to identify the community-owned business

What contribution has your nominee made to the community?

This is your chance to tell us all about how the person you're nominating has been involved in the business and the impact their commitment and efforts have made to the business and the community it serves. In particular, we want to know what makes them shine - why are they a star in your eyes? Please try to include specific examples of the difference they've made, for example is there a story that showcases how they've gone above and beyond for an individual or group of people - the more information you can provide, the stronger your nomination will be.

Is the person aware that you're nominating them?

Please select... Yes No

We encourage you to share videos, photos, newspaper articles etc to support your nomination. If you'd like to submit any supporting materials, please attach below, alternatively these can be emailed to events@plunkett.co.uk by 16th August. 

Upload File Here

I agree to allow Plunkett UK to use photos and videos of my nominee and the community group, that are submitted as part of my nomination, to be used by the charity, and its project partners, to promote the Rural Community Business Awards campaign, as well as to promote community ownership in publications, press articles, promotional material, social media and websites.

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