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Nomination Applications

Important application instructions
A separate nomination form must be completed for each nominee
Please complete the nomination form with as much information as possible and please continue on a separate sheet if necessary
Please ensure your nomination forms are returned by
Monday
23 January 2017
If you have difficulty in understanding the form, please telephone 01922 652426 leaving a message in your own language.   Please remember to include your telephone number and contact address so that we can respond to you.
What happens after the closing date?
Following the deadline date of
Monday 23 January 2017
, shortlisting will take place
All nominations will be considered by an independent panel
The panel’s decision is final
If your nomination is a finalist, we may contact you for further information
We regret we will only be able to contact those who have been shortlisted
Walsall Council is collecting this information for the sole purpose of evaluating nominations for the Mayor’s Civic Awards.Information provided on this form will only be disclosed to relevant council officers dealing with the Awards Scheme, members of the judging panel and the videographer. The names of finalists, reasons for their nominations and the award category will be disclosed to the press and other media. You should note that applications for the awards will be kept for a period of three years.
Contact us
Tina Arrowsmith
Legal & Democratic Services
Council House, First Floor,
Lichfield Street,
Walsall,
WS1 1TW
Telephone – 01922 654823.
Email –
mayorscivicawards@walsall.gov.uk