Leicestershire First

Promoting leadership, excellence and citizenship in the community of Leicestershire.

Nomination Form

Your Contact Details:

Title: * Firstname: * Surname: Company (if applicable): Address 1: Address 2: Address 3: Postcode: * Email: How did you find out about Leicestershire First?:

Contact details of the person you are nominating:

Title: * Firstname: * Surname: Company (if applicable): Address 1: Address 2: Address 3: Postcode: Telephone: * Email:

Award Name:

Use this box to explain why you think this person deserves to win an award:

Submit

Leicester City Council The Beacon Fellowship Community Channel Leicestershire County Council

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