Nomination form

Rebuilding Lives Awards 2025 - Nomination form

Award category - please select a category from the drop down list below.(Required)

Name of nominee(Required)

Name of nominee

Nominated team(Required)

Nominated team

When making a nomination, please consider recognising smaller teams or specific groups within a department who have made a significant impact. This ensures that the efforts of those who have gone above and beyond are truly highlighted. While entire departments play a vital role, this award aims to celebrate focused contributions from teams whose collaboration and dedication have made a real difference.

Email address of nominee (if known)

note: we will only use this to contact them about their nomination if they are shortlisted

Organisation of nominee (if applicable)

Please specify the team's department (if known) and a rough number of people in the team(Required)

How has your nominee elevated the voice of the SCI community?'(Required)

What changes have they made, or are they fighting for?(Required)

Can you give an example of a time when this person showed courage and compassion when acting on behalf of the SCI community?(Required)

How has your nominee positively impacted members of the SCI community?(Required)

What differences have they made, or are they fighting for?(Required)

Can you give an example of a time when this person went above and beyond on behalf of the SCI community?(Required)

How have they positively impacted members of the SCI community?(Required)

How have they collaborated with others within the SCI community to make change?(Required)

Can you give an example of differences this team have made, or are fighting for?(Required)

Your name(Required)

First name Last name

Your email(Required)

Your organisation (if applicable)

Your contact preferences

We would like to keep you informed about our campaigning and services, appeals and others ways you can support our work. Your support and involvement with SIA helps us to empower people with spinal cord injuries and their families to live fulfilled lives.

How would you like us to contact you?(Required)

Phone

Post

I do not wish to be contacted by SIA

Why we will contact you
By joining SIA, you’ll receive information about our charitable activities and the support services we provide. Please let us know what other information you’d like to receive using the options below.
SIA Communications – regular updates concerning our work, including our campaigning, the events we organise and how you can support us now and in the future.
Training and Education – providing you with information about SIA’s training and education providing vital specialist expertise across the health and care sector.
The Voice – SIA's monthly email newsletter providing updates on all our activities.

Please tick below to let us know the type of communications you would like to receive from us:

SIA communications

Training and education

The Voice

note: If you would like to nominate an individual or team in another category please refresh this page and fill out another form, thank you.

Rebuilding Lives Awards 2025 - Nomination form

Your contact preferences

Why we will contact you