Application For Shining Star Award

Your Name: *

Your Address: *

Your Phone Number:

Your Email: *

Nominees Name: *

Reason For Nomination: *

Consent

At times, we will not be able to assist but may be able to approach other agencies/charities to see if they are willing to help you. Your details may be shared with these charities/agencies in order that we may try to obtain help on your behalf. If you do not wish us to contact any agencies/charities on your behalf this will not prejudice your request for assistance. If assistance is provided by the Foundation it will be used in our marketing/social media platforms to promote the Foundation and its objectives and you agree to this use.