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Southern Staffordshire Regeneration Awards 2010

Application Form

Please note that any projects that were running at some point between 1st April 2008 and 30th May 2010 are eligible.

Please read the guidance notes carefully before completion. If you require any assistance in completing this form, or need any further information, please contact one of the individuals listed on the contacts sheet.

Please note: Questions marked with a star (*) are compulsory.

    Contact Details
    Source of Entry

    Please indicate your connection with the nominated scheme *


    Name and Location of project/activity *
    Category/categories of award *
    Brief description of scheme *

    If entering a Project - please complete a summary of the scheme to include key partners, achievements and timescales (up to 100 words)

    If nominating an Individual - please complete a summary of the key achievements of the individual (up to 100 words)

    Supporting statement *

    Please provide a brief supporting statement (up to 400 words), detailing why you think the scheme / individual qualifies for a regeneration award, bearing in mind the criteria in the guidance.

    Thank you for completing the form. Please ensure that all fields are completed.

    • The closing date for entries will be 5pm on Monday 19th July 2010 Short listed schemes will be announced before the end of July and may be asked to provide further information prior to site visits by the judging panel. Entries should be returned to one of the local authority contacts listed on the attached guidance sheet. Please contact them for further information or additional forms or contact the Partnership on 01543 308250 This e-mail address is being protected from spam bots, you need JavaScript enabled to view it .
    • Shortlisting and Judging will be carried out by an independent judging panel.