Online Form - Commemorative recognition - large memorials

Selection criteria

Applications must meet one or more of criteria a) through c), and must meet criteria d).

Tick at least one or more of the following that apply:*




Please confirm that the following criteria are met by your application:*

Note - that applications initially approved by the Town may be put out to community consultation, where relevant, according to Town policy, to provide information, to enable feedback and advice on a large memorial.

Type of recognition applied for*



Note - complete the appropriate section following, depending on whether your application is for a person, or an organisation/event.

Commemorative recognition: person

Please leave this section blank if your nomination is for an organisation/event and scroll down to next section.

Is the person still living

Do you have a photograph of the person to be recognised?


Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx
Has permission been given by the next of kin where an application is being made to recognise a deceased individual?


Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Commemorative recognition: organisation/event

Please leave this section blank if your nomination is for a person and scroll down to next section.

Supporting evidence

References

Please supply below the details of four current residents of the Town, their contact details and statement of support for the application. The person providing the reference cannot be related to the nominee either by blood or marriage.

Reference 1


Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Applicant checklist 

  • Please attach a letter of permission from the next of kin where necessary.
  • Ensure you have entered all details correctly and provided as much information as you can to support your application.
  • Attach a photograph of the person being nominated.
  • Ensure that you have obtained one written reference in support of your application.

Reference 2


Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Reference 3


Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Reference 4


Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Applicant's check list

  • Please attach a letter of permission from the next of kin where necessary.
  • Ensure you have entered all details correctly and provided as much information as you can to support your application
  • Attach a photograph of the person being nominated.
  • Ensure that you have obtained four written references in support of your application. These references cannot be related to the nominee either by blood or marriage.

 
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