Application/Nomination Form

Please ensure that you refer to the Awards criteria when completing the application/nomination form below, it should take no longer than 3 minutes. 

When completing the form, please note that this is for West Midlands-based companies and individuals. Businesses do not have to be head officed in the region, but need to have a presence within the West Midlands.  

If you experience any issues when attempting to complete the form below, you can also download the application form or the nomination form here. Once completed, please return the form to

Deadlines for all applications and nominations is Friday 16th September 2016


Apply/Nominate Now

Please complete this short form if you are applying for an award or if you are nominating a colleague. 

Are you applying or nominating someone for an Award?

(Please complete your details below if you are applying, if you are nominating, please complete the nominees details)

(Please note, location refers to your place of work, not home address)

Please select the Award Category you wish to apply or nominate for:

Based on the Awards criteria, why should you be shortlisted for this award? (Max 200 words)

Please complete your details below if you have nominated someone for an award