Please complete all details on this form. It will be automatically forwarded to the relevant staff member.
Nominations close annually on the 7th April and submissions are considered by the committee when it meets in May or June each year. Following the committee's decision, you can expect to hear back from us by the end of June annually.
If you would like a copy of your responses (which can be useful, should you apply for other things in the future), please add your email address in the relevant field at the bottom of this form.