To nominate your Hometown Hero, simply complete the form below and tell us why your nominee deserves to be a Hometown Hero.
To make a nomination you must be a resident of the United Kingdom (including residents of the Channel Islands and the Isle of Man) and over 18 years of age.
Your nominee must be over the age of 18 years old and live and work in one of the following counties: of West Midlands, Warwickshire, Worcestershire, Herefordshire, Staffordshire and Shropshire.
You must let the nominee know that you are nominating them.
Please do not include anything on the application form relating to the nominee’s physical or mental health, race or ethnicity, political opinions, criminal convictions, or religious beliefs.
Nominations close at 23:59 on Friday 6th November.
Register your Interest