Online Form - Community Champion Nomination To nominate a local community champion please fill in the form below; Your Name* * Required Field. Your Email* * Required Field.* Please enter a valid email address. Nominee's Name* * Required Field. Nominee's Email* * Required Field.* Please enter valid email address Nominee's Organisation* * Required Field. In up to 25 words, why is your nominee a local community champion?* * Required Field. Type the code from the image: Do not fill this textbox.