Volunteer/Young Volunteer of the Year

• Please ensure you read the Award Criteria 2011 before making your nomination
• If you wish to nominate a volunteer, please complete the form below

Please note: All nominations will be judged solely on the information received, therefore please include as much relevant detail as possible.

Please remember to fill in contact details, as this is how we will be in touch should the nomination be successful.

You may also want an NGB representative to endorse your nomination. If you would like to do this, please direct them to the NGB Endorsement Form as well as passing on all club information to allow them to complete the endorsement form.

PLEASE NOTE: If you wish to save your form to complete at a later date, you must ensure you make note of the reference number given when clicking 'Save for later...' as you will be required to enter this when clicking 'Load...' to access the data.

Volunteer Details   CSN area for which the nomination is being made. Please select the appropriate box (ONE box only)   Chester le Street and Durham City Easington Teesdale and Wear Valley Derwentside Sedgefield   Category the Nominee is being entered for:   Volunteer of the Year Young Volunteer of the Year (under 21 as of 31/08/11)   Name of Volunteer     Address (must be provided to allow contact)     Telephone (if known - important to allow contact)     Email Address (if known)     Age / DOB (for Young Volunteer Category only)     Current club/organisation(s) that the volunteer is working for     Current voluntary position(s)     Area(s) where this volunteer undertakes volunteering     Average number of voluntary hours per month     Number of years as an active volunteer   Reason for Nomination Please give details describing why this person deserves to win this award: (no more than 250 words) Consider including details of relevant training and development they have undertaken, their main duties, how invaluable they are, any particular barriers they have overcome to undertake their role as volunteer Details of person making the nomination   Name (your name)     Telephone     Email Address   Image   Please upload an image of the volunteer (for use in presentations)     Is the nominated person aware of this nomination?   Yes No      I nominate the above volunteer and confirm to the best of my knowledge the details given in support of this nomination are accurate. I understand the judges' decision is final and that no correspondence will be entered into. * If any of the details are found to be inaccurate or false this will result in your nomination being withdrawn from the process.   Type both words separated by a space below:

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