Petts Wood Pharmacy Carer Award

The Petts Wood Pharmacy opened 3 years ago, and the Dhillon family has been greatly impressed by the kindness of local patients and their carers. To demonstrate further support to carers and the disabled, the first Petts Wood Pharmacy Community Award will be awarded to a local carer. A £1000 prize will be awarded as follows:

Criteria
The Petts Wood Pharmacy Carer Award will recognise the unpaid carer whose efforts in providing care to someone else are, in the opinion of the judges, particularly exceptional and deserving of additional recognition. This may be through overcoming particular difficulties or barriers, tackling specific challenges, having addressed unusual or unexpected circumstances, or having been particularly creative or innovative in finding a solution to a challenge or problem to the benefit of the person they are caring for.

For the awards a carer is defined as someone who:
• Gives help and support to someone who, due to disability, illness or frailness, is unable to manage living in their own home without help
• Could look after spouses, partners, children, parent(s), sibling(s), other relatives, neighbours and friends
• Are unpaid, could be any age, and could live with or apart from the person they care for.

Name of nominee:

Address:

Contact telephone numbers (including mobile):

Email:

Who should be contacted if this entry is shortlisted?

Reasons for nomination (300 words or less):

Affiliation: Is the carer a member of any carer group or charity in Bromley?

IF YOU ARE NOMINATING SOMEONE:

Do you have their permission? yes no
Your name

Your address:

Contact telephone numbers (including mobile):

Your email:

ADDITIONAL FILES

Attach supporting and additional files that you feel may help in your nomination
*Jpeg and pdf files ONLY*

File 1:

File 2:

Files must be no larger than 500KB.

Declaration:
By submitting this form I confirrm that the details of my entry are true and correct. The nominee is an unpaid carer based in the Bromley borough.

You can also print out a form, scan and email it to us at pwreception@london.newsquest.co.uk, stating the name of the nominee in the body of the email. You can also post the form and supporting documents to Carer Award, News Shopper, Crest View Drive, Petts Wood, Kent, BR5 1BT