Screen Reader Mode Icon
Thank you for taking the time to tell us all about your neurodiverse heroes! We can't wait to read your nomination. If you prefer you can nominate via a video clip of 120 seconds or less, please send to awards@geniuswithin.co.uk.

We would love your nomination to include information about the company/individual, the work they do to support neurominorities, and the impact they have had (i.e. success stories). 

Question Title

* 1. Please tell us your name

Question Title

* 2. Your contact details 

Question Title

* 3. Which Category do you wish to nominate for?

Question Title

* 4. Who would you like to nominate?

Question Title

* 5. Does your nominee know of this nomination?

Question Title

* 6. If your your nominee under 18 years old do you have parental approval for the nomination?

Question Title

* 7. Please provide nominee contact details

Question Title

* 8. Please let us know why you want to nominate this company or person (250 words)

Question Title

* 9. We would love to use your nomination on our social media channels to showcase your chosen person/company. Please confirm we can have permission:

Question Title

* 10. Please provide the social media tags for us to use:

Question Title

* 11. Thank you for your nomination! If there is anything else we should know tell us below.

0 of 11 answered
 

T