The Queen’s Reading Room Medal Nomination Form

Basic Information & Contact Details

Your details (Person writing application for either yourself or another)
Name(Required)

Nominee Details

Person being nominated, if you are nominating yourself please enter the same information as above
Nominee Name(Required)

Nomination

The following questions ask in more detail how this individual and their activity has: proven commitment, demonstrated initiative, widened reach and access and delivered impact. Please note that an individual does not need to meet every point to be successful – we take into consideration the application as a whole when selecting our shortlist. You also do not need to aim to reach the maximum word count.

Proving Commitment

Demonstrating Initiative

In this section please outline how this individual has demonstrated initiative (Max 250 words). You may wish to tell us how they have:

  • a) identified a need, i.e., lack of access to books for a group or community, need for representation for a group or community, lack of engagement with books and stories in a group or community; and
  • b) designed and/or provided a solution to that need; and
  • c) created means for that solution to be scaled and/or sustained

Widening Reach and Access

In this section please tell us how this individual’s activity has improved access to reading or inspired in others a love of reading. We are interested in activity that has in any way championed diversity, helped make reading more inclusive and helped break down barriers to reading (Max 250 words).

Delivering Impact

Anything else? (Optional)

Data Notice

By submitting a nomination, you understand that we will use the personal information provided to administer and assess the award, and to contact you (and, where relevant, the nominee) about the nomination. As part of the assessment process, we may carry out proportionate checks to verify information provided, including reviewing publicly available sources and requesting clarification from the nominator and/or nominee where needed. We will not use your details for marketing. We will keep nomination data for up to three years to administer the award across multiple cycles, track previous nominations and handle any follow-up queries, after which it will be deleted or anonymised. For more information, please see our Privacy Policy.