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abababa

11 September 2015, 12:29 pm

What is their full name?*
Age at last birthday and date of birth (if known)?*
To qualify nominees have to be under 40 on 1 April 2020.
Which town/city do they live in?*
Gender?*
What is their email?
What is their sphere of impact?*
What is the role/job that led to them being nominated?
One line "headline" that describes their impact on the Jewish community?*
What is their story? Why will their impact be sustained or become more influential in the future?
Any online information covering their contribution
Name of nominator*
Relationship to nominee (if any)*
Mobile number of nominator*
Email number of nominator*
May we contact you to discuss this nomination if further required?*
- Yes
- No
Name for anyone who can provide more details about the nominee
Email address for anyone who can provide more details about the nominee
Mobile number for anyone who can provide more details about the nominee

What is their full name?*
Age at last birthday and date of birth (if known)?*
To qualify nominees have to be under 25 on 1 April 2020.
Which town/city do they live in?*
Gender?*
What is their email?
What is their sphere of impact?*
What is the role/job that led to them being nominated?
One line "headline" that describes their impact on the Jewish community?*
What is their story? Why will their impact be sustained or become more influential in the future?
Any online information covering their contribution
Name of nominator*
Relationship to nominee (if any)*
Mobile number of nominator*
Email number of nominator*
May we contact you to discuss this nomination if further required?*
- Yes
- No
Name for anyone who can provide more details about the nominee
Email address for anyone who can provide more details about the nominee
Mobile number for anyone who can provide more details about the nominee

What is their full name?*
Age at last birthday and date of birth (if known)?*
To qualify nominees have to be under 18 at 1 September 2019.
In which city or town do they live?*
Gender?*
What is their school/college?*
What is their sphere of impact?*
What have they done that has led to them being nominated?
One line "headline" that describes their impact?*
What is their story? Why do you think this person's impact on the Jewish community will be sustained or become more influential in the future?*
Any online information covering their contribution
Name of nominator*
Relationship to nominee (if any)*
Mobile number of nominator*
Email number of nominator**
May we contact you to discuss this nomination if further required?**
- Yes
- No
Name for anyone who can provide more details about the nominee
Email address for anyone who can provide more details about the nominee
Mobile number for anyone who can provide more details about the nominee
What is their name of their parent/guardian so we can follow up if they are on the list? (if known)*
What is their email of their parent/guardian so we can follow up if they are on the list? (if known)*