Award Confirmation

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Award Confirmation

"*" indicates required fields

Your full name:*

Date:*

DD slash MM slash YYYY

Please select an office:*

Which month does your award cover?*

Email address:*

Phone number:*

Have you received your certificate yet?*

Yes

No

This form should only be completed once you have received your certificate.

Are you comfortable with the use of your photo on our social media platforms?*

Yes

No

Please note this may affect your eligibility for the £50 Amazon voucher.

Please upload a photo of you holding your certificate:*

Accepted file types: jpg, jpeg, gif, png, tiff, bmp, heic, Max. file size: 20 MB.

Please check the quality of the uploaded file.

Social media:*

I give my consent for my name and photo to be uploaded to the organisation's social media platforms.

Newsletter:*

I give my consent for my name and achievement to be included in the monthly company newsletter.

Do you have any feedback for improving the award process?

Please sign:*

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