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NOMINATION FORM

The Time 2 Shine Awards November 2013, to be held at The Historic Dockyard, Commissioners House . Please return completed forms to Tracy Cannon, The Elaine Centre, Clifton Close, Strood, Kent, ME2 2HG

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NOMINATION FORM

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  1. The Time 2 Shine Awards November 2013, to be held at The Historic Dockyard, Commissioners House. Please return completed forms to Tracy Cannon, The Elaine Centre, Clifton Close, Strood, Kent, ME2 2HG or by e-mail to:tracy.cannon@medway.gov.uk NOMINATION FORM Your name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Your telephone no: . . . . . . . . . . . . . . . . . . . . . . . . . Your e-mail: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If you are a young person nominating yourself: OR If you are nominating a young person for a Time 2 Shine Award: The name of the young person you are nominating: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . What is your age: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Age of young person: . . . . . . . . . . . . . . . . . . . . . . . . . . Who is supporting you in this self nomination (name of carer, social worker, teacher etc): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Gender: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . What is your relationship with the young person you are nominating (teacher, social worker etc): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The great thing about the Time 2 Shine awards is that you create the title and reason for the award! For personal achievements between November 2011 : September 2013, whether at home, school or elsewhere. Here are a few suggestions for award nominations: - Personal Development - Creative Arts Award - Academic Award - Sporting Award Now tell us what you want to nominate your young person for! (The title of the award and why they deserve it) …………………………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………………………………………………………………………………

  2. REGISTRATION It is very important that the young nominees have support at the awards ceremony itself. Therefore it would be great for you to attend along with the young person nominated. RSVP: I will be showing my support by attending the Time 2 Shine award ceremony with my nominee. (limited to 2 people per nominee due to capacity of venue) I regret that I will not be able to attend the Time 2 Shine awards. For further details please contact Joanne Kavanagh on 01634 335560. CLOSING DATE FOR NOMINATIONS: FRIDAY, 13TH SEPTEMBER 2013

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