Blair Peach nomination form

Blair Peach Nomination form

Nominee details (Name of individual member(s) nominated for the award and membership number)

Membership number

District / branch name

Nominator details (Must be through branch/district)

District/branch name

Nominator role in district/branch (Should be Chair, Secretary or Treasurer):

If appropriate

email_address

Supporting statements

Describe a significant achievement by the individual member/team of members in promoting equality and diversity during 2025.

This achievement might refer to an initiative, a success or other appropriate activity carried out in 2025. Additional materials relating to the nomination will enable the panel to gain a better understanding of the work carried out by the member and can aid their decision-making.

Enter supporting statement (200 words maximum)