Please enter the details of yourself and the person you wish to nominate below. Find out more about our nomination process here.

Your Details:

Your Name *

Your Email *

Your Phone *

Your Business (if applicable)

Nominee's Details:

Nominee's Name *

Nominee's Contact Details *

Nominee's Business (if applicable)

Please select the category you are nominating the person for: *

How long Have you known the above named person and in what capacity? *

How long has he/she lived in Worcestershire and in your opinion what difference has his/her contribution, in the category you are nominating her/him for, made to the local community? *

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