Social, Community and Civic Nomination Form

Social, Community and Civic Award Nomination 2019

2017 Winners Social, Community and Civic Award - Ballinasloe Social Services

‘Celebrating Voluntary Activity in Community Life in Ballinasloe’

Social, Community and Civic Award Nomination Form

This category recognises voluntary groups or individuals that have made a special contribution to life in Ballinasloe and hinterland through the works which they have undertaken. It may be in respect of ongoing work, or a specific project that has made a significant impact on their community and its people or working with specific groups. This category is to recognise those that continue to work towards making Ballinasloe a better place to live.

You can either download the nomination form here and email or post it back using the contact details at the end of this page or you can submit your nomination directly below:

Deadline for receipt of Nominations is 5pm 18th October

Social, Community and Civic Award Nomination Form

Section A

Section A: Details of the Group or Person being nominated for this Award. All sections MUST be completed.

Please provide full contact details as all shortlisted Nominees will be informed of their nomination and invited to the Awards Ceremony.

* Indicates required field

Name of Group/Individual *

Contact Name *

Email of Nominee *

Mobile Number of Nominee *

Postal Address of Nominee *

Photo of Nominee *

Max file size: 20MB

Q 1: In your opinion what contribution has this person/group made to the locality (25 Marks) *

Q 2: What would be missing if this person or group were not involved in their activities (15 Marks) *

Q3: Number of years this person/group has been active in their activities (5 Marks) *

Q 4: What impact have they made on people's lives in the locality (20 Marks) *

Q 5: Why do you think they should win this Award? (25 Marks) *

Q 6: Any other relevant information to back your nomination ( Include links to website, social, press releases etc if relevant) (10 Marks) *

Section B

Section B: Details of Person making the nomination. Full details must be submitted.
Note: both the nominee and the nominator will be invited to the Awards on the 14th November, however the nominee will not be informed by the POTY Committee who nominated them.

Full Name, Address, Email and Mobile of Nominator *

I consent to BACD using my email address to contact me in relation to this nomination. *

Yes No

Submit

How do I Nominate?
1.There is one nomination form for each category. Please visit this page for the full list.
2. You can make a nomination by either downloading the nomination forms on this page and emailing or posting it back. You can ALSO nominate a person/group directly from the category page. See this link for full list of categories
3. Read the questions carefully. Section A is information regarding the group or person being nominated. Section B is information regarding the persons making the nomination..
4. You may submit extra information. The assessment will be based on the information provided on the form and any extra information given.
5. All nominees must be nominated for volunteering work undertaken only. Any paid roles will not be considered.
6. Closing date for receipt of nomination forms is 5pm October 10th

For queries please contact:
Lyn Donnelly
Ballinasloe Enterprise Centre
Creagh
Ballinasloe,
Co. Galway.

Tel: 090 9646516
Email: info@ballinasloeenterprisecentre.ie

Social, Community and Civic Award Nomination 2019

‘Celebrating Voluntary Activity in Community Life in Ballinasloe’​

Social, Community and Civic Award Nomination Form

Social, Community and Civic Award Nomination Form

Section A

Section B

‘Celebrating Voluntary Activity in Community Life in Ballinasloe’