Application Contact Person: *

Address Line 1: *

Address Line 2:

Town/City: *

County: *

Postcode: *

Email Address: *

Contact Telephone Number: *

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Name of Nominee: *

Your Connection to the Nominated Person: *

Organisation Nominee is Associated with *

Is the nominee aware you are nominating them? *YESNO

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To help you with your nomination we would like you to think about the following:

What did the nominee achieve in terms of environmental rivers benefits?

Such as, did they contribute to river resilience, the conservation and enhancement of biodiversity? Has this had positive impacts on and/or involvement with others?  For example, colleagues, fellow volunteers, the wider community?

If the nominee is associated with a specific project or scheme, please include:

Project title

Describe project, its aims, what the project involved, why was it important, how was the project funded, are there any longer-term benefits? Any project partners (other organisation/s involved with project).

We would also like you to think about the following:

Project achievements

What did the project achieve in terms of environmental rivers benefits?  Such as contributing to river resilience, the conservation and enhancement of biodiversity and has this had any positive impacts on and/or involvement with a local community? Consider what was the need for the project? It's state at the start, now and the future projection?

Describe in no more than 1,000 words the reasons for this nomination0 / 1000

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Supporting Documents

Attach supporting documentation, including any quantitative evidence and images. If you would like to submit more supporting documents/images email these to info@thamesriverstrust.org.uk and let us know the contact person and nominee to associate them with.

Please upload any relevant files here (Max 32MB):

Drag and Drop (or) Choose Files

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Please read and tick the box below: *By submitting this form, I understand that Thames Rivers Trust will not share my information with any other person or business and that I give consent for Thames Rivers Trust to hold my information for the sole use of communicating with me.

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