Nominating for Dignity in Care Awards 2019

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Closes 30 Apr 2019

Introduction

To help you complete the nomination form, please read the appropriate document from the previous page: either The Dignity Do's or The Children's Dignity Do's.

1. What is your name?

2. What is your email address?

If you enter your email address then you will automatically receive an acknowledgement email when you submit your response.

3. What is your organisation (if applicable)?

4. Please state that you have read and agreed to the information below.

Caveat:  Please consider the feelings of the person you are nominating and should you feel that by nominating them you are causing them damage or distress, please seek their consent first.

PRIVACY NOTICE

The information you supply will be used solely for the purpose of the Dignity in Care Awards - by making your nomination, please be advised that your nomination (including who you are nominating) will be shared with others.  As part of this process the information you provide will be seen by a Judging Panel (the Panel will be made up of representatives from Dignity in Care, Staffordshire County Council and Clinical Commissioning Groups.)  As part of this process we may wish to publish details of both you and the person/organisation you nominate within the Awards programme; for any young person who is being nominated we advise you to seek parental consent prior to nomination, because the information may be in the public domain.

For further advice and guidance about how Staffordshire County Council process data, please see this link.