Nominate - Smollan All Star Awards (MESA)

Your Details:

(If you are nominating yourself, please include your details as the ‘nominator’.)

Name and Surname*

Job Title*

Employee Number*

Mobile Phone*

Email Address*

Nominee Details:

(Even if you are nominating yourself, please include your full details here as well.)

Please ensure that the full and correct nominee details are entered below.
In the event that the nominee’s Business Unit does not appear on the drop down list, please select “Other” and include the correct Business Unit in the free text box.

Name and Surname*

Business Unit*

Enter your Business Unit here*

City*

Country*

Job Title*

Employee Number

Mobile Number*

Email Address*

How it works:

Answer the below to give details of your nomination.

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Provide a detailed description of how and why you lead a sustainable and healthy lifestyle. Remember the more information you give us, the more we’ll be able to understand just what well-being means to you.

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Help us get a full picture of your wellness story. Upload any supporting evidence: pictures, programmes etc that will help us understand how you lead a sustainable and healthy lifestyle.