Online nomination form

To enter, please complete the nomination form below. You can either enter online or complete a nomination form and forward it by email or by post.

You can either enter online or complete a PDF nomination form and forward by email or by post to:

Address: Catherine Byerley, Communications Officer
Commission for the Compact
77 Paradise Circus Queensway
Birmingham
B1 2DT
Email: catherine.byerley@thecompact.org.uk
or if you have any questions please call Catherine on 0121 237 5905

If you do not receive an email acknowledging receipt of your entry within three working days, please call 0121 237 5905.

Thank you for taking the time to complete this form and good luck with your entry.

Nomination

* indicates a required field

* Category entered

Please note that all nominations need to be proposed and seconded by two people, one representing the public sector and one representing the voluntary and community sector.

Proposer

Name
Job Title
Organisation
Tel
Email

Seconder

Name
Job Title
Organisation
Tel
Email

Nomination Details

Please enter the name of the Local Compact / Partnership / Compact Champion* you are nominating. Please note that this name will be the one used on the certificate, if this nomination is successful.

Your Nomination

* If you are nominating someone for the Compact Champion of the Year category please supply the contact details of the nominated individual here and complete section 6 of this nomination form

Name
Job Title
Organisation
Tel
Email
Section 1 - Description of activity during 2008-09
Section 2 - Objectives
Section 3 - Details of collaboration and team working
Section 4 - Outcomes and benefits
Section 5 - Any other comments / supporting information

Section 6 - Supporting evidence for Compact Champion of the Year nomination (please complete all three points)

a) Your reason(s) for nominating this person?
b) Description of how they have contributed to Compact work during 2008-09
c) Outcomes and benefits