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Leading Lights Nomination Form
About You:
First Name
Last Name
Address/Work Location
Telephone Number
E-mail Address (if you enter a valid email address, you will be sent a PDF version of your submitted form)
Who are you nominating?
Their First Name
Their Last Name
Their Directorate/Service
Their Location
What category are you nominating them for?	What category are you nominating them for? Direct Service Award Value for Money Award Partnership Award Green Award Inclusion Award Outstanding Achievement Award
Please indicate which of the Council Plan outcomes you feel the nomination contributes to and give details in the box provided – a copy of the Council Plan is available on the web site.	Please indicate which of the Council Plan outcomes you feel the nomination contributes to and give details in the box provided – a copy of the Council Plan is available on the web site. Improve the quality of the built and natural environment Strengthen the local economy Create a safer and more secure area Improve health and well-being Being a well managed, top performing council
I feel that the nomination contributes to this Council Plan outcomes because
Evidence for Nomination
In the following two questions, please provide as much information as you can and examples where possible to allow the judges to give full consideration to your nomination.
Why are you nominating this person/team?
How do you feel their contribution has improved the Council? This could be in terms of service improvement, customer service or team relationships.
Please tell us why you think their achievement is over and above their normal role/s. What makes their contribution special?
Are you sending supporting information with this nomination?	Are you sending supporting information with this nomination? Yes No
If you have supporting information in electronic form, you can upload this to the form by clicking Browse.
The deadline for nominations each year is 31st March.
Submit the form by clicking the Submit button below. If you prefer to send the form in paper form, please fill in the form, print it and send it to the address below:
FREEPOST NEA14110 North East Lincolnshire Council PPD Human Resources Municipal Offices Town Hall Square Grimsby DN31 1HU
Thank you for taking the time to make a nomination.

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