Sutton Youth Celebration event 2015:
Nomination Form
Name of Nominee: ________________________________
Date of Birth (must be 13 – 19 years old, or up to 25 if SEN): ___/___/___
Award nominated for:

Personal Achievement Award - - - - - - - - - - - - - - - - - - -

Physical Achievement Award- - - - - - - - - - - - - - - - - - - - -

Community Achievement Award- - - - - - - - - - - - - - - - -

Inspiring Through Performance Award- - - - - - - - - - - - -

Overall Outstanding Achievement Award- - - - - - - - - - -
Please also see attached guidance sheet for specific criteria for each award
Please tell us why you have chosen to nominate a young person/person’s for this award?
(Minimum 150 words – Maximum 450 words)
Your Contact details:
Name: _________________________________________________
Relationship to nominated person: __________________________
Organisation (If applicable): ________________________________
Contact telephone number: ________________________________
Contact email address: ____________________________________
By signing this, I declare that the information I have provided is both true and accurate to
the best of my knowledge, and that false/untrue information may result in the person
nominated being withdrawn from the ceremony:
Signed: _____________________________
Date: ___/___/___