Everyone Active Acton Centre, High Street, Acton, London W3 6NE
Tel: 07745 889 521
E-mail: , website: http://www.descendants.org.uk /
REGISTERED CHARITY NO: 1109057
The Dr John Roberts CBE QC 13th Annual Achievement Award Ceremony
Friday 7th July 2017
Closing date for nominations Friday 2nd June 2017 (Secondary)
Only one student name per form please
Nominee
Name: ______
Age:______
School/College:______
Year Group:______
Nominators: ______
Name of Teacher/Tutor:______
Contact Details:______
Phone Number:______Email:______
Best Contact Number:______
Below are the nine categories please indicate which category you are nominating the young person in.
(PLEASE NOTE YOU CAN ONLY NOMINATE IN A MAXIMUM OF TWO CATEGORIES)
1. Students who excel in all areas of their education.
2. Students who work hard and achieve against all the odds.
3. Student of the year - Male young person.
4. Student of the year - Female young person.
5. Students who excel in Arts.
6. Students who excel in Sports.
7. Students with Entrepreneurial qualities
8. Future Leaders
9. Students who you would recommend for the award of Outstanding Student.
To assist the panel to get to know the young person and assess their achievements, please provide as much supporting material as possible. Please state what impact the nominee's has had on their peers and others (if applicable). The panel will make decisions solely based on the information from schools.
Please use the separate sheet attached to describe the candidate's achievements.
Thank you for taking the time to nominate this young person. We will acknowledge receipt of your nomination.
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DESCENDANTSEveryone Active Acton Centre, High Street, Acton, London W3 6NE
Tel: 07745 889 521
E-mail: , website: http://www.descendants.org.uk /
REGISTERED CHARITY NO: 1109057
The Dr John Roberts CBE QC 13th Annual Achievement Award Ceremony
Friday 7th July 2017
(Formerly known as The Descendants Achievement Award Ceremony)
Closing date for nominations Friday 2nd June 2017
Only one name per form please
Nominee’s Name: ______
(If required please add additional paper)
2