Pride in Our Carers Awards 2017 – Nominations Now Open!

Pride in Our Carers 2017 Nomination Form
Your details
We need these to enable us to contact you to let you know if your nominee has been shortlisted. This will be done before we write to the shortlisted individual/organisation.
Incomplete forms may not be accepted so please ensure you provide full contact details for yourself and the nominated person and the Award Category you are nominating them for.

Title
—Please choose an option—MrMrsMissMsDrProfessor

First name*

Last name*

Telephone number*

Mobile number

Email address*

Address


Town*

Postcode*

Details of Nominee
We will be writing to all shortlisted individuals/organisations in order to invite them along to our awards ceremony in Cambridge in Carers Week 12-18 June 2017.

Title
—Please choose an option—MrMrsMissMsDrProfessorOther

First name*

Last name*

Telephone number*

Mobile number

Email address

Organisation

Job title/Team

Address*


Town*

Postcode*

A note about the judging process
To ensure a fair process, all nominations will be judged anonymously. All details about the nominee and the nominated will be removed before the judging takes place.

Categories are:
Carer of the Year - Nominate the family member, friend or neighbour you know who goes out of their way to help and support others and who makes a difference in someone’s life.
Young Carer / Young Adult Carer of the Year - Nominate the Young Carer (5-18) or Young Adult Carer (18-24) you know who goes out of their way to help and support others and who makes a difference in someone’s life.
Carer Friendly employer of the Year - Nominate a local business or organisation who supports their employees or customers in their caring role. This can include an individual who has made a difference by going the extra mile on behalf of the business/organisation.
Carer Friendly School or College of the Year - Nominate a School or College who has demonstrated a carer friendly approach in their caring role. This can include an individual who has made a difference by going the extra mile on behalf of the school/college.
Carer Friendly Social Care Award - Nominate the Social Care team, care manager, youth worker or individual who has demonstrated the most carer friendly approach in their working role and who has made a difference by going the extra mile.
Carer Friendly Health Care Award - Nominate the GP surgery, Consultant, District Nurse, Health Care team or individual who has demonstrated the most carer friendly approach in their working role and who has made a difference by going the extra mile.
Carer Friendly Voluntary Organisation Award - Nominate the Voluntary organisation, team or individual who has demonstrated the most carer friendly approach in their working role and who has made a difference by going the extra mile.

I would like to nominate the person named above for the following Award*
—Please choose an option—Carer of the YearYoung Carer / Young Adult Carer of the YearCarer Friendly employer of the YearCarer Friendly School or College of the YearCarer Friendly Social Care AwardCarer Friendly Health Care AwardCarer Friendly Voluntary Organisation Award

Who do they care for?
If you are nominating an individual, could you please indicate who they care for.
If it is more than one person please tick the relevant boxes.
SpouseChild (under 18)Child (over 18)ParentGrandparentOther family memberNeighbourFriend

Award Nomination*
Please tell us why the individual, team or organisation merits the award by including examples of the support they provide and how they have made a difference in their particular category. [Maximum 250 words].

Total word Count : 0 words [Maximum 250 words].

Closing date for nominations: Friday 7th April 2017

* Denotes required fields