The Queen’s Reading Room Medal Nomination Form

Name(Required)

First Last

Email(Required)

Organisation/Role (if appropriate)

Are you happy that we tell the person that you are nominating that it was you who put them forward for an award?(Required)

Nominee's name and Contact details(Required)

Why are you nominating this individual? (maximum 500 words)(Required)

How have you seen a positive impact?(Required)

When did this happen or is it ongoing?(Required)

Why do you think they deserve this award? (maximum 500 words)(Required)

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