Community Heroes Nomination Form

Please complete the form below if you wish to nominate an individual or organisation for a Woodley Town Council Community Heroes Award.

Before completing the form, please ensure you have read the Community Heroes Awards Guidance. If you need any assistance completing the form, please call 0118 969 0356.

Once completed, please ensure you click on the ‘Submit’ button at the bottom of the page. Forms must be submitted by 15 December 2024 to be considered for the 2025 Community Heroes Awards.

YOUR DETAILS

Title

Name

Address

Postcode

Phone

NOMINEE'S DETAILS

Please provide the name of the individual / organisation you wish to nominate for a Community Heroes Award

Nominee's Address (if known)

Nominee's Phone (if known)

Nominee's Email

Which Community Hero Award category do you believe your nominee should be considered for? (please note, the Committee reserve the right to consider your nominee in a different category where they deem it is appropriate)

Please tell us your reasons for making this nomination, providing as much detail as you can about the individual / organisation, their activities, and why you feel they deserve to be recognised as a Community Hero:

DECLARATION

Important Information

To maintain the element of surprise, we ask that you do not inform your nominee about this nomination.

Nominations will be considered in January 2024, after which we will contact you to inform you of the outcome. If successful you will be invited to attend our 2024 Community Heroes Awards Ceremony, to celebrate alongside your nominee. This is due to take place at the Oakwood Centre on Friday 5 April 2024.

If your nomination is successful, the Council intend to create a 'Winner's Video' to be shown at the ceremony to celebrate their success; previous examples can be seen on the Council's YouTube channel. As their nominator, we would like you to take part in a short, filmed interview, to be included in this video, in which you can express, in your own words, why you made this nomination. Please indicate below if you are happy to take part in this filming, should your nomination be successful:

I CONSENT to taking part in a short, filmed interview to be used during the Community Heroes Awards ceremony and subsequently published online on the Council's media channels, and for the Council to store and use my image and audio for this purpose. I DO NOT CONSENT to taking part in a short filmed interview.

Data Privacy Notice

Woodley Town Council is the data controller for your data. By submitting this application, you consent to the Council storing and processing the personal data you have provided for the purpose for which it was submitted.

Where necessary the Council may share your personal data with other third-party data controllers with whom the council works. Personal data will be stored securely, and will be deleted or anonymised when it is no longer required. For full information on how we will process your data, including who it may be shared with, where it will be stored, how it will be protected, and how long it will be stored, please see our General Data Privacy Notice.

Woodley Town Council, The Oakwood Centre, Headley Road, Woodley, Berkshire, RG5 4JZ.

Contact: Tel – 0118 969 0356 / Email – admin@woodley.gov.uk

Please tick to confirm you have read and understood the above information.

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