1. Nominate an inspiring story

* 1. Your details (nominator):

* 2. Who are you nominating?:

* 3. Nominee Contact Details (individual or organisations)

* 4. Summarise the nominee's story in one sentence:

* 5. What success/contribution/achievement has the nominee attained or will attain? (Maximum of 150 words)

* 6. What have been or will be the positive benefits to the community/organisation/region? (Maximum of 150 words)

* 7. Any other comments you would like to include:

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