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* 1. Your name

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* 2. Your e-mail.

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* 3. The name of the person you are nominating.
If you are nominating yourself, we need to receive a letter of support from your school, colleagues, pupils and/or parents. Our e-mail is admin@ukpastoral.chat .

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* 4. Nominee’s place of work.

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* 5. How can we contact the nominee?

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* 6. Your relationship to the nominee.

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* 7. Please pick a category.

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* 8. Your reasons for nomination.

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* 9. The impact that the nominee has had in the area of pastoral care in education.

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* 10. The evidence of the impact. Further evidence can be e-mailed to admin@ukpastoral.chat .

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* 11. Please include any other relevant information. 

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