Older Peoples Award Nomination Form

Sponsor the Awards

Nominations are now being taken for the Older Person's Awards Wales 2022.

The awards recognise the amazing achievements and contributions of people aged 50+ living in the local community.

If you know someone who deserves recognition, please tell us all about them by completing the nomination form.

Nomination form

I am nominating:

Myself

Someone else

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Please indicate what category and area your nomination is for:

Select a Category:

And an Area:

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About You

Your Name:

Your Email Address:

Your Phone Number:

Your Address:

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Please provide a picture of yourself, or the person being nominated...

Upload Picture

Click here to upload your picture

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Consent is provided to use the picture for publicity purposes:

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Details of Nominee (if not you)

Their name:

Their Email Address:

Their Phone Number:

Their Address:

Please tell us what the nominee did?

Why was the particular activity chosen?

Who was helped?

What difference was made?

Please tell us any other reasons or detail about why you are nominating yourself or another person (between 300 and 400 words)?

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Closing date for entries is 26th September 2022

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Age Connects Wales is a registered charity (Reg No 1173881).

Mae Age Connects Wales yn elusen annibynnol (Rhif Cofrestredig: 1173881)

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