Coventry Good Citizen Award application form

Coventry City Council presents a Good Citizen Award for people who may not get the recognition they deserve for their efforts to help or improve the community.

Nominator details

Please enter your details. All fields marked with an asterisk must be filled in.
If you include your e-mail address, we will send you a copy of the information you've submitted.

Extra nominators

Please enter the details of extra nominators.
Extra nominator details

Nominee details

Data Protection Statement

Data Protection Act 1998

The details you provide for yourself will only be used for the purpose of the Awards and may be shared with the person you have nominated. The details you provide for your nominee will only be used to help us decide who should receive Good Citizen Awards and enable us to contact them in the future if successful. We will also use winner's information in the local media and on the Council's website which has world wide coverage.
eForms by AchieveForms