STAR Awards 2007 Nomination Form

1. National Employer
2. Local Employer
3. Partner Organisation
4. Workplace Mentor
5. Volunteer
6. Member of Shaw Trust staff
7. Individual Achievement Awards

   There will be 3 Individual Achievement Awards for Shaw Trust service users. Please indicate which service your nominee has used (e.g. Workstep, YTS)

   Service:

Please tick which region your nominee belongs to

1. Scotland
2. North West
   (Lancashire, Cumbria, Liverpool, Merseyside, Manchester, Sheffield, Leeds, Wakefield, Bradford, Calderdale, Kirklees, Doncaster, Barnsley)
3. Central and Midlands
   (Herefordshire, Worcestershire, Warwickshire, Shropshire, Birmingham, Black Country, Northamptonshire, Leicestershire, Rutland, Staffordshire, Cheshire, Derbyshire, Nottinghamshire, Lincolnshire)
4. South West and Wales
   (Whole of Wales, Cornwall, Devon, Dorset, Somerset, Hampshire, Wiltshire, Berkshire, Oxford, Gloucestershire, Bristol)
5. London and South East
   (Greater London, Kent, Surrey, Sussex, Bedfordshire, Buckinghamshire, Medway, Hertfordshire, Cambridgeshire, Suffolk, Norfolk, East Anglia)
6. North East
   (Middlesbrough, Newcastle, Tyne & Wear, Durham, Redcar & Cleveland, Northumberland)

Maximum of 300 words please.