People of the Year

Nomination Form

Nomations are now being accepted for the 2013 People of the Year. If you're experiencing difficulties with this nomination please use our basic form or email your nomination to peopleoftheyear@rehab.ie.

Nomination Category

Please select:

Person or Group nominated

Name:

Address:

Age (if under 25):

Contact telephone number:

Email:

Nominated By

Your Name:

Your Address:

Your Telephone:

Your Email:

Your Organisation and title
(if applicable):

Please provide as much information as you can about why you are nominating the person for an award. Please provide at least 50 words.

If you have any information to support your nomination which you would like to include for example news clippings, photographs, or reports please upload them below:

Supporting Documentation:

Upload:

Supporting Documentation:

Upload:

Supporting Documentation:

Upload:

How did you hear about the People of the Year awards?:

Security Code: