Embed Size (px)
Citation preview
Fermanagh Rural Community NetworkAwards 2018Celebrating Your Achievements
Please complete this form in full and return to:
FRCN The Intec Centre 36 East Bridge Street Enniskillen BT74 7BT
By 12 noon Monday 8th October 2018
2. Award for: An Individual who has made a difference in your area
Nominating Group Details:
Name: ________________________________________________________
Address: _________________________________________________________________
_________________________________________________________________
Daytime Telephone Number:__________________________________________
Details about the Individual you wish to nominate:
Name:____________________________________________________________
Address:__________________________________________________________
_________________________________________________________________
Main Contact:______________________________________________________
Daytime Telephone Number:__________________________________________
In what way has this Individual made a difference locally that deserves recognition?
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
The Intec Centre 36 East Bridge Street Enniskillen Co Fermanagh BT74 7BT Tel: 028 6632 7006 E-mail: [email protected] Website: www.fermanaghrcn.org
Company Registration No.: NI050070 HMRC Charity No.: XR69041 Registered with the Charity Commission for Northern Ireland NIC 100161
How has this Individual involved other People?
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
How have others benefited from the work undertaken by this Individual?
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
Is there any other information that supports why this Individual should be considered for an Award?
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
Signed:___________________________________ Date:_______________
Position in Group:__________________________________________________
