Suffolk Adult Learners’ Awards 2017 Nomination Form

Name of Award (See guidance notes):

Learning in the Digital Age Award / Inspirational Learner of the Year
Sponsored by BT / Sponsored by Suffolk Adult Learning Federation (SALF)
Tutor of the Year
Sponsored by West Suffolk College / Learning at Work Award
Sponsored by Suffolk Chamber of Commerce
Learning Project of the Year / Outstanding Family Learners of the Year
Sponsored by Eastern Enterprise Hub / Sponsored by Realise Futures Learning & Development
Volunteer of the Year / Health & Wellbeing Impact Award
Sponsored by Suffolk New College / Sponsored by Public Health, Suffolk County Council
Arts & Cultural Learning Award
Sponsored by Lowestoft College
Outstanding Services to Adult Education & Training in Suffolk
Sponsored by Leap / This award is not open to nominations but you may forward suggestions to

(The ‘Outstanding Learner of the Year Award’ sponsored by University of Suffolk will be chosen by the panel)

Nominator Details
Name:
Address:
Postcode: / Daytime Telephone Number:
Email Address:
Nominee Details
Name:
Address:
Postcode: / Daytime Telephone Number:
Email Address:
Course(s) undertaken or being undertaken by the Nominee (include qualification if any):
Learning Provider:
Nomination Details (to be completed by the nominator- please see guidance notes.
300-500 words. Please use separate sheet if handwritten):

Declaration:

Private information: The Suffolk Adult Learners’ Awards may generate significant media interest and the information on this form could be used to inspire others into learning. If anything has been written about the nominee on this form that they do not wish to be made public, please make us aware. Winners & runners up will have their photos taken at the event and may be interviewed or asked to give quotes for Leap promotional purposes – permission will be obtained from each nominee before we do this.

Photographs and quotes from the nomination forms may be used for Leap, SALF and Suffolk County Council promotional purposes - permission will be obtained from each nominee before we do this.

To be completed by the nominator
I confirm that the information supplied in this form is correct to the best of my knowledge and that the statements are true and accurate.
I confirm that the nominee is aware they have been nominated.
Signature of Nominator:
(email signature accepted)
Date: