Application Form

Form for nomination of Leading Light.

Required fields *
Leading Lights Awards 2017 Application Form
Note: If you are a media outlet, your article, programme or series can be outlined as ‘the project or campaign’. If you are nominating a Road Safety Officer, outline their work as ‘the project or campaign’.
Nominator Details*
Please name the person, project, group or organisation which you are nominating
Does the project leader know that you have nominated them for this award?*


If you have answered yes, please fill in the contact details of the nominated party in the space provided. If the nominated party is a group or organisation please name a suitable point of contact.
Project Details
Write a short description of the project, using the following headings; (Strictly Max 250 words)*
• Background: How did the project come about?
• Team: Who was involved?
• Objectives: What did the project hope to achieve?
• Approach: What did you do?
• Results: Did the project work? What was the impact of the work?
Why do you believe this project should receive a Leading light Award? (Strictly Max 250 Words)*
Supporting Material
This form should be completed in full. If you have any additional supporting material you would like to submit with this entry you can submit it by email at leadinglights@rsa.ie.
In the body of your email please state your name, the name of your nomination and the category of the nomination
Supporting material is limited to 2 video files or 2 audio files or 4 photographic images or any reasonable combination of all. Entries that exceed this limit will be subject to the discretion of the evaluation team.
BY SUBMITTING THIS FORM YOUR ARE DECLARING THAT THE INFORMATION PROVIDED IS TRUE AND ACCURATE