Kent Mental Wellbeing Awards
Nomination Form

Please write your nomination on a Word document first. Save it. And then cut and paste the narrative onto the nomination page – just in case there is an IT glitch. We do not want your efforts to be be wasted. If you do have a glitch please email simondolby@eastkentmind.org.uk to let us know.

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Type of nomination

About the nominee(s)

Name of person or group of people you are nominating

Lead nominee's phone or organisation phone

Lead nominee's email or organisation email

Name the organisation the nominee works or volunteers at

About the organisation you are nominating

Name the organisation nomination applies to

Organisation Address Line 1

Organisation Address Line 2

Organisation Town or village

Organisation Postcode

Organisation's phone

Organisation's Email

Contact person at organisation

About the Initiative that you are nominating

Name the initiative you are nominating

Name the organisation delivering this initiative

Organisation Address Line 1 (i)

Organisation Address Line 2 (i)

Organisation city or village (i)

Organisation Postcode (i)

Delivery organisation's phone

Delivery organisation's email

Contact person at delivery organisation

Nomination information

Location of nominee or project – where is activity taking place?

Awards category – please select sector

Awards specialisation – please select

Why have you nominated this person, organisation or initiative? Please give as much detail as you can.

What innovative ideas has the individual or team implemented?

What challenges has the individual or team faced in the last year and how have they overcome these?

Is there any other information that can assist the judging panel?

About you – who is making this nomination?

Nominator's Full Name

Nominator's phone

Nominator's email

Confirm Email

Which organisation do you represent?*

What role do you hold in the organisation?

The awards team or judges might need to contact you about the awards. Please approve the ways we can get in touch. By Email

The awards team or judges might need to contact you about the awards. Please approve the ways we can get in touch. By Phone

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Kent Mental Wellbeing Awards Nomination Form