Nominate - Forward Carers

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First Name *

Last Name *

Company Name *

First Line of Your Address *

City/Town *

Postcode *

Telephone Number *

Email Address *

I agree to be identified as the nominator in award announcements and promotional material YesNo

Details of nominee/who you are voting for

Company, team or individual

Company Name

Nominee First Name

Nominee Last Name

Nominee Telephone Number

Nominee Email Address

First Line of Nominee Address

City

Nominee Postcode

If you are nominating please ensure you give either an email or contact number of the person or company so we can inform them of the nomination.

Category submitting nomination for

Check the category/ies you are nominating the company, team or person for *Carer Friendly EmployerCarer Friendly Hospitality and RetailCarer Friendly 3rd SectorCarer Friendly BusinessCarer Friendly Community ChampionCarer Friendly Health ProviderCarer Friendly Making a Difference

Tell us why you think the organisation or person you are nominating should win the award. *

Give an example of how this person/organisation’s support has made a difference. If you are nominating your own business, please describe what you have put into place to support unpaid carers and what difference that is making, please use clear examples.

Use this box for other supporting information or examples of why you believe this person/organisation deserves to be nominated for this category.? If you are self-nominating, please ensure to give clear examples of why you should be shortlisted for this category.

In what way did this help you in your role as carer? If you are self-nominating, please be clear in what steps you have taken to support carers within your organisation

In what way did the business/organisation or person you are nominating go above and beyond? Please ensure if you are self-nominating to be clear in how you are ensuring carers are valued, recognised and considered within your workplace.

Please read our Data Protection Statement and tick the box to confirm your fully understand them Read our Privacy Policy

Get in touch

Forward Carers CIC
Touchbase Pears Business Centre,
750 Bristol Rd,
Birmingham B29 6NA
info@forwardcarers.co.uk

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