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* 1. Who is completing this form?

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* 2. Mandatory Attendance of Judging day and the Awards Ceremony
If shortlisted, please confirm that the nominee is able to attend a short interview with the judging panel and the Awards Ceremony

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* 3. Is the nominee a rising star or senior leader?
Rising Star - (aged 35 or younger on 12 April 2021)
Senior Leader - (generally with at least 10 years’ experience)

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* 4. Which Sector Does The Nominee Work In?

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* 5. Details of the nominee

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* 6. Independent Reference
We will require this information prior to the submission of this nomination form. The referee will only be contacted should the entrant be shortlisted for Judging Day. The entrant will be notified prior to the BBBAwards team getting in touch with the referee

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* 7. The Nominee's Career Path
In 250 words, please provide a brief overview of the nominee's career path to date and their role within the current company/organisation including key responsibilities, how long they have been in the role, etc

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* 8. Tangible Evidence of the Nominee's Success
In 250 words, please provide tangible/measurable evidence of the nominee's success and how they support others in their industry

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* 9. Supporting Evidence
If you would like to submit supporting evidence, please indicate below and uploaded a maximum of three documents

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* 10. Upload File

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 11. Declaration
To be signed by the person completing this nomination form

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* 12. Confirm your details

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* 13. Further correspondence

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* 14. How did you hear about the Black British Business Awards?

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