Please complete the details below to submit a nomination.
Your name *:
Your address *:
Your daytime telephone number *:
Your email address:
Your nominee name *:
Select a Category...
Ambassador of the YearChild of the YearCommunity Champion(s) of the YearCustomer Service Employee of the YearEnvironmentalist(s) of the YearGrandparent(s) of the YearInspirational Leader of the YearJersey Angel of the YearNeighbour of the YearTeacher of the YearYoung Achiever of the YearVolunteer/Fundraiser of the Year
If felt necessary, the judging panel reserve the right to select an alternative category for your nominee.
Address of your nominee(if you know it):
Contact number of your nominee(if you know it):
Why do they deserve the award? (Please include as much detail as possible in no more than 250 words) *
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