The Dame Mary Perkins British Citizen Youth Award - Nomination Form

The BCyA Dame Mary Perkins Youth Group - Nomination Form

The British Citizen Youth Award (BCyA) has been highlighting the incredible endeavours of young individuals in their communities since 2016. In 2022, we launched The BCyA Dame Mary Perkins Youth Group Award which recognises the contribution made by groups of people (under 18) – such as those from a community youth club, a classroom or school year, or who attend youth organisations such as the Brownies, Girl Guides, Scouts or any of the other independent youth groups. Dame Mary Perkins is Patron of the BCyA and also founder of Specsavers has agreed to make a donation to the selected Youth Group to help them to continue making a difference in their community. Simply complete the form for your Youth Group to be considered. The successful group’s leader and up to eight members of the group will be invited to attend The British Citizen Youth Award Medal Presentation Ceremony in October to be presented with a bespoke mounted medal and certificate in a display case for the entire group to enjoy.

Full Name of Group(Required)

Purpose of the Group(Required)

Full Address of Group's premises(Required)

Nominator’s name (Person completing the application)(Required)

Nominator’s Date of Birth(Required)

Nominator’s Home Address(Required)

Nominator’s email(Required)

Nominator’s contact number.(Required)

What capacity is your role within the Group(Required)

Please tell us, in 500 words approx, the reason you are nominating this group for The BCyA Dame Mary Perkins Group Award. Please include as much information relating to the Group's impact on the community and any achievements of exceptional note. Include the acerage age, or age range, of members of the Group and how many people make up the Group. Note: The person named above agrees to be contacted by telephone if required for further information.(Required)

By submitting this form you are giving permission for the BCyA to contact the person named for further information (if required). You are also giving a declaration that the information provided is true to the best of your knowledge. If selected to receive The BCyA Dame Mary Perkins Group Award, a member of the organisers of the group will be invited with up to eight of the young members to attend the Presentation Ceremony at the Palace of Westminster in October. Due to the capacity of the venue, the BCyA is unable to increase the number of invitations except in exceptional circumstances. Full joining instructions and official invitations will be sent in advance. The BCyA will provide lunch and light refreshments to guests at the Palace of Westminster before presenting the Medal specially mounted in a display case. (All costs associated with travel, accommodation, food etc, have to be met by the group or individuals). Following the official presentations, guests will board the BCyA Open Top 'Lap of Honour' Tour taking in some of the sights of the Capital. The youth group selected to receive this award will also be presented with a contribution to the cause courtesy of Specsavers to help them continue their good work.

Please tick this box to indicate that you have read the Terms & Conditions.(Required)

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