Nominee form - The British Citizen Award

The British Citizen Award Medalists are selected to receive the recognition – individuals do not ‘win’ a BCA but are presented with the honour.

Only a limited number of British Citizen Award medals are presented each year. They are carefully considered by the Independent Assessment Panel and each nomination is given a rigorous review before moving to the next stage. Further information or validation may be sought. Any candidate not progressing to medalist stage, should be aware that this does not diminish the achievements of the candidate in any way, and should not be viewed as a negative response, it is simply the criteria which dictate the success of nominations and it is this process which makes the awarding of The People's Honours so significant to those who receive it. The Assessment Panel merits on the information provided to them. Provide as much information to the nomination form to make your case. Medalist are selected to receive the honour in recognition for their contribution to society, therefore the are NOT WINNERS as this implies a competition.

Supply as much information as you can to validate your nomination – please also read Entry Regulations below.

I wish to nominate the following candidate and I am supported in this application by one other person (seconder). I confirm that I am not related to the candidate.

How did you hear about The People's Honours (BCA)

Please select either The British Citizen Award or The British Citizen Youth Award (under 18)(Required)

Nominee (person being nominated)(Required)

Title First Name Last Name

Nominee's - HOME ADDRESS (Full)(Required)

Address Line 1 Address Line 2 Town County Postal Code

Nominee's Date of Birth(Required)

Approx Age (if D.O.B unknown)

Nominee's Home / Business phone

Nominees Mobile(Required)

Nominee's Email(Required)

Is the nominee still actively involved in what you are nominating them for?

Please answer YES or NO How many years?

Is the Nominee aware of this nomination – the completed nomination form will not be disclosed to the nominee(Required)

Please note: Nominees will be informed in the event of being honoured a BCA, deferral or request for further information by the assessment panel.

Parent/Guardian Mobile / Home(Required)

Parent/Guardian Email(Required)

Name of Parent/Guardian(Required)

Please confirm Parent/Guardian approval(Required)

Yes, approval is confirmed

1. Categories – choose category you recommend - If left blank, the assessment panel will determine the most suitable category relating to the nomination

Please select Classification

If unsure, please leave blank and the assessment panel will decide most appropriate Classification.

2. Please complete in the box below why you consider the Nominee should be considered for The British Citizen Award (approx. 300 Words)

3. What in your opinion makes this Nominee’s contribution exceptional? (approx. 300 Words)

4. Has the Nominee’s contribution positively impacted a community, and if so, how? (approx. 300 Words)

5. How long has the Nominee been engaged in the activity you have described in this submission and what has been the biggest impact? (approx. 300 Words)

6. What other recognition (if any) has the nominee received for the activity described in this nomination (approx. 300 Words) -

7. Is there any additional evidence to support your nomination?

*Supporting evidence could be, but not limited to, press cuttings, testimonials, personal references, web coverage, letters from Charities etc. Please upload copies or web links where appropriate, clearly marked with your candidates name on the tag line.

Upload any evidence if available

Drop files here or

Max. file size: 10 MB, Max. files: 10.

Nominator details

Nominator's Name (person completing application)(Required)

Title First Name Last Name

In what capacity/relationship do you know the Nominee (Nominator MUST NOT be related to, or reside at the same address as, the nominee)(Required)

Nominator's Home Address (Full)

Address Line 1 Address Line 2 Town County Postal Code

Nominator's Contact number(Required)

Nominator's Email(Required)

DECLARATION - See Nomination Regulations below before signing Declaration
(nominations will not be accepted without signatures)

I, the nominator, hereby confirm that the above information is accurate and true to the best of my knowledge and belief

Signature of Nominator(Required)

Use your mouse (if on a computer) or your finger (if on a phone or tablet) to draw your signature

Print full name of Nominator

Nominator Undertaking(Required)

By ticking this box you are giving an undertaking that the information provided in this nomination is true and accurate to the best of your knowledge, and that you agree to be bound by the Assessors decision which is final and non-negotiable. You are also giving an undertaking that the e-signature provided is a representation of your own signature and is to be treated as if you had signed the physical document.

Entry Rules and Regulations(Required)

By ticking this box you confirm that you have read the Entry Rules and Regulations that can be found HERE.

Seconder's Name (Person validating application)(Required)

Title First Name Last Name

Seconder's Date of Birth(Required)

In what capacity/relationship do you know the Nominee(Required)

Seconder's Home Address (Full)

Address Line 1 Address Line 2 Town County Postal Code

Seconder's Phone number

Seconder's Email(Required)

Seconder Undertaking(Required)

By ticking this box you are giving an undertaking that the Seconder has seen and approved the nomination, and agrees to be bound by the Assessors decision which is final and non-negotiable. Furthermore, you are giving an undertaking that the Seconder has given you consent to provide their personal details on their behalf. An email will be forwarded to them when this nomination is submitted.

Upon clicking the "submit" button below, please wait for a confirmation message before closing down the page.

Nomination Form - The People's Honours