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?

Evidence for Nomination

Why are you nominating this person/team?

How has their work improved your experience of the council?

Why do you think their achievement is over and above their normal role/s?

Are you sending supporting information with this nomination?

Yes

If you have supporting information in electronic form, you can upload this to the form by clicking Browse

Deadlines for nominations each year are:

31st March

30th June

30th September

31st December

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.

DATA PROTECTION NOTICE
North East Lincolnshire Council is a Data Controller for the purposes of the Data Protection Act 1998. Any personal information supplied on this form will be processed in accordance with the principles of the Act. If you want to find out more about your rights under the Act, you can contact the Office of the Information Commissioner (tel: 01625 545 700 / http://www.dataprotection.gov.uk) or the Director of Law and Democratic Services on 01472 313131.



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