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The Great British Care Awards
Unpaid Carers Nominations National Final 2012
The Unpaid Carer's Award is supported by Carers UK and Nutricia.
How to Enter
This nomination is for unpaid carers only.
Read the attached
judging criteria
carefully.
Write an account of no more than 300 words saying why your colleague (or you) should be considered. An additional account from a colleague, or service user/family carer is helpful but not essential.
Please make sure that the name of the nominee/entrant and the award category is included on all separate pieces of supporting information.
Complete this entry form and attach it to all other separate pieces of supporting information.
Post the entry to: The Great British Care Awards, 21 Regent Street, Nottingham NG1 5BS or fax to 0115 959 6148.
The closing dates is 14th may 2012 at 4pm
Entry Form
*
Region:
Home Care National final 2012
*
Awards Categories:
Please Select
Unpaid Carer
*
Name of Nominee:
*
Job Title:
*
Organisation:
*
Name of Branch/ Home:
*
Organisation address:
Maximum remaining characters: 200
*
Postcode:
*
Tel No:
*
Email Address:
*
Name of person making nomination:
*
Nominator Job Title:
*
Organisation:
(if different from above
)
*
Nominator Email Address
:
:
*
Nominator Tel No:
*
Who should we contact if the nominee is shortlisted :
Nominee
Nominator
*
Date:
*
Reasons for Nomination:
(in no more than 300 words)
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