Community, Health and Social Care Directorate Nomination form

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Community, Health and Social Care Directorate
Community and Social Care Awards 2006
Nomination form
Do you want to say a big thank you to a member of staff from Community, Health and
Social Care Directorate (libraries, museum and art gallery, adult social services,
neighbourhood management and community centres)? Do you want to let an individual
or group in your community know how much the work they do means to you?
You can use this form to nominate an individual or team, with the eventual winner
being presented their award at a ceremony on 5 October 2006.
I would like to nominate (name of
person or team)
who is (please circle)
staff member or team
community activist or group
Where they work
The reason
Your name
Telephone
How did you find out about the awards?
Can we contact you for more information about your nomination?
Yes/No
Can we pass your details to the press for more information about your
nomination?
Yes/No
Please return this form to:
George Rowe,
Community, Health and Social Care,
Crompton House, 100 Chorley Road,
Swinton, M27 6BP
You can also hand it in to any social services office or library.
Closing date for nominations: 11 August 2006
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