Rotary Club of Mendip Young Citizen Award
Nomination Form 2020/2021
Please read the Privacy
Notice overleaf before completing this form. By signing this form, you confirm
you have read, understood and agreed to the contents of the Privacy Notice.
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Nominee (please type or use CAPITAL letters)
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Age on 31st December 2020: |
(only to be completed by Nominee Contact if they are 18 years of age at the time of signing this form and legally eligible to give consent)
Nominee Contact Email:
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Nominee Tel No: |
Parent/Guardian Contact Details
(only to be completed by Parent/Guardian if Nominee is a minor, under the age of 18 years of age at the time of signing this form)
Parent/Guardian’s name and Email:
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Parent/Guardian’s Tel No: |
Parent/Guardian address |
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Please note that, in accordance with the Rotary International in Great Britain & Ireland privacy notice, we will hold your personal information for the purpose of processing and dispatch of certificates and that this information will be destroyed, along with all other documentation, by 30th June 2021. |
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Completed form must be returned by 31st December 2020 and sent to: By email (preferred) to Roger Burdock email rogerkfburdock@gmail.com Alternatively forward to: Roger Burdock at 8, Oaklands, Cheddar, Somerset BS27 3BS.
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Nominees under the age of 18 when this form is completed or who are 18 years of age and over but not legally eligible to give consent, must get a parent/guardian signature to give permission for the following (if the Nominee is 18 years of age, and legally eligible to give consent, when this form is completed, they are giving permission themselves):-
a. for the named Nominee to take part and be identified in the award.
b. for the information on this form to be used and shared in accordance with the Privacy Notice with appropriate competition/award organisers.
*Parent/Guardian/Nominee (Print Name):
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**Signature: |
Date: |
*delete as appropriate **Nominee may only sign this form if they are 18 years of age and over and legally eligible on the date the Nomination Form is signed
Privacy Notice – Youth Competitions/Awards
[For the purpose of this privacy notice, Rotary International in Great Britain & Ireland (Rotary GB&I) also includes Rotary clubs and districts and their members. The use of the term ‘you’, ‘your’ also means that of your child where the competition/award Nominee is a minor, i.e. under the age of 18 years or 18 years of age and over but not legally eligible to give consent].
Members of Rotary International in Great Britain and Ireland (“we”) value the trust you put in us to process your personal information and will always be open and honest about the information we collect and how we will use it. We will never do anything with your personal information that you wouldn’t reasonably expect us to in relation to the Youth Competitions/Awards and we will always take every effort to protect your privacy.
The Rotary GB&I Privacy Notice is available on our website, www.rotarygbi.org, and explains how we collect, process and share personal information. This ‘Privacy Notice – Youth Competition/Awards is supplementary to the general RotaryGB&I Privacy Notice and explains in more detail how you can expect your personal information to be specifically used in relation to the Youth Competition/Award events.
How we use your personal information for Youth Competitions/Awards
1. We are collecting your personal information (and that of your child if a minor, or not legally eligible to give consent) for the organisation and administration of the Youth Competitions/Awards only, it will not be used for any other purpose.
2. Club,or Rotary Public Relations Officers may use your personal information to make contact with you to discuss public relation opportunities and will gain your specific consent at that time for the use of your information, such as photographs/interviews for newspaper articles, club website etc. Where the nominee is a minor, or not legally eligible to give consent, only the parent/guardian will be contacted.
Providing your personal information to others for Youth Competitions/Awards
3. The personal information will only be shared with others that require it for their role/the services they provide for the organisation and administration of the Youth Competition/Award events.
4. Those individuals and organisations that have access to the personal information are also bound by the Rotary GB&I Privacy Notice.
Retaining and deleting your personal information
5. All reasonable steps will be taken by those concerned to ensure the personal information they have access to be kept securely and will not be shared with anyone who does not have a legitimate reason to have access to it in relation to the organisation and administration of the competitions/awards.
6. For all Youth Competitions/Awards, personal information will be kept on file until 30th June 2021. After this date, the information will be securely destroyed (either by shredding, incineration or deletion from electronic devices). This timeframe is necessary to allow for any disputes to be settled before the personal information is destroyed.
By signing the front of this form, you are acknowledging that you have read and agree to the Privacy Notices in respect of the use of personal information for yourself (and your child, where applicable).
Supporting Information
As the nominating Rotary club, please explain (briefly) on the continuity sheet why you have made, or are happy to endorse, this nomination. Please include any information on the nominated person which demonstrates evidence of ‘good citizenship’ related to this nomination. The nomination should be associated with a current or recently completed project and should state how the young people are actively involved in the project and engaged in ‘acts of citizenship’.
Please attach any photographs, newspaper articles, etc. that usefully support the nomination but don’t rely on newspaper items as the only evidence of work done by the nominee.
Information can include endorsements/statements from the young people’s school or from organisations or people who have benefitted from their help, charity numbers, schemes which are up and running and speaking to those involved. Also obtaining statistics, financial figures if relevant, etc. The nominee can also produce a video of his/her work/project as part of the application, use of a mobile phone is acceptable.
Rotary will maintain future contact via email.
ROTARY YOUNG CITIZEN 2021
Nomination Form – continuity sheet
Name of Nominee: …..…………………………………….
Please give an outline as to why the nomination is made – if possible in a typed format
'What We Do' Main Pages:
The Club has amended the stay at home signs to thank all those who helped to reduce the spread of Covid 19 by staying at home. The Club appreciates the assistance given by Cheddar Signs and the local Companies who sponsored the original signage.
moreRotarian Anwar Hussain cooked a third batch of his free Curries for local NHS Staff & Carers in the Cheddar Valley, on this occasion, the Rotary Club of Mendip were very pleased to both sponsor & help distribute the curries.
moreThe Prime Minister thanked the efforts of Rotary to eradicate Polio world wide. https://twitter.com/rotarygbi/status/1311286625788481539
moreThe Club has set up a buddy system, where it is arranged in small groups to ensure easy contact for the members well being.
moreRtns. Peter Wright & Mike Hiles are transporting vunerable adults to vaccination centres. They are also in telephone contact with indivduals who are experiencing dificulties during the pandemic, including non rotarians.
moreStaff at the Court House Retirement Home have decided to stay locked down with the residents during the pandemic. to support their efforts Club members donated wine for them to enjoy during their down time.
morePresident Elect Jim Skinner presented the prizes in the Space Nature Photography Competition for Mental Health Week. Tian Mazi Thomas won the prize in the 4 - 9 years and the runner up was Henry Munday.
moreThanks to a US$70,000 project being led by the Rotary Clubs of Mendip and Kampala Sunrise the latest initiative was Medical Camp at the Ndwaddemutwe School. This was a tremendous success with 957 people attending and being tested and treated for wide rang
moreClub President Ceri Davies laying a wreath at the Cheddar cenotaph to remember all those who have fallen in conflict.
moreA Club member cooked 62 curries which were given free to NHS staff in the Cheddar Valley on their return from work. Sponsored by Cheddar Taxi and Chauffeur.
moreThe March 75 Club charity draw was carried out my Val Maunder, assisted my Jim Warnell from W C Maunders. The draw was started during the pandemic to ensure the Club could continue to support local charities at this time.
moreFollowing the changes to Government guideline on Sunday the Rotary Club of Mendip working with their local community and businesses have amended the road signs around the Cheddar Valley. They now identify the need to Stay Alert and keep 2 metres apart.
moreAs a method of raising funds for good causes in this time the Club has started a 75 Club Draw with 50% of proceeds going to good causes.
moreFollowing the added restrictions that have came in to force the Club has amended the advisory road signs installed locally in spring 2020. They now reinforce the message Stay at Home protect key workers to remind visitors and local residents that the risk
moreMembers of the Club and volunteers from The Space Charity were preparing raised beds in preparation for planting later in the year. A trench was also dug to erect fencing around the project. This will be completed later.
moreAs the Holiday weekend approaches several Club members and local businesses joined together to support key workers and Government guidelines with Stay at Home signs. Thanks Worle Glass & Joinery, The FSC Group, Deane & Sons, Cheddar Signs and JVS Holdings
moreThe May draw was carried out by Mike who is the landlord of the White Horse Public House in Mark
moreIan and Sue Presidents of the Rotary and Inner Wheel Clubs of Mendip layed wreaths on behalf of their organisations to remember those who gave their lives in conflicts.
moreYoung Chef 2020
moreThe Club has placed a display in Cheddar Library to highlight World Polio Day 24th October 2020.
moreThe first of the Laundry bags and face masks produced by members of the Rotary and Inner Wheel clubs of Mendip were delivered for use by the Pharmacy staff in Cheddar. Safe distancing practice was adhered to during the handover.
moreThe February draw for the 75 Club was carried out at the local business MAWAGRI. They have assisted the Club by giving discounts on the items purchased from them for the Space Allotment, our Charity for this Rotary year.The winning number was 37.
moreAfter supplying laundry bags to Stroud Hospital the Club was asked to supply some to the Renal Unit St. George's Hospital Tooting. Assisted by Inner Wheel, Pam Salmon ex Ladies Circle and Gill Latham Past President Inner Wheel 30 were delivered.
moreThe Presidents charity for 2020-20121 is the Space Charity. The project will be undertaken in partnership with the kings of Wessex Academy
moreCheddar Arts and The Art Quarter are endevouring to create an uplifting activity for Christmas. They are asking businesses and people within the Cheddar Valley to put a festive display in their windows and "Make Cheddar Festive".
moreThe crocus planted by the Club in support of the Rotary Internationals End Polio Campaign can be seen around the area. Over the last 30 years Rotary has donated $2 billion to the eradication effort and protected 2.5 million children from the disease.
moreThe second batch of laundry bags have been handed over for use in Bath Hospitals. There were 78 bags in total. A joint effort between Rotary and Inner Wheel.
moreThe April draw was carried out by Lewis Bull and Percy Foord from OnPoint Barbers in Cheddar Gorge. The draw was initiated to raise funds for charities when traditional fund raising events were cancelled due to the pandemic.
moreRotarian Anwar Hussain cooked a fourth batch of curries for key workers. The event was sponsored by the Club as part of its response to Covid 19.
moreDo you know someone under 21 living in the Cheddar Valley who is an inspiration to others, perhaps providing extra help to family, friends and neighbours in our community during the Covid crisis, or providing help and support to charitable causes?
moreClub members and Space volunteers erected a new fence around the allotment to ensure rabbits are unable to damage the produce. They were assisted by Jason from JC Landscapes.
moreRotarian Roger Burdock and his wife Jane a member of Inner Wheel organised a socially distancing street party to celebrate VE day. It was organised to celebrate peace and understanding to support Rotary peace scholars.
moreOne of the signs erected by the Club to remind people to protect the local community during the current pandemic was vandelised. However thanks to the assistance of staff at Cheddar Caves it was recovered and can be repaired and reused.
moreMembers together with the Inner Wheel Club of Mendip are making laundry bags fro front line workers. This allows them to put their clothes in the bags to wash. Reducing handling
moreMembers of Mendip and Crewkerne Rotary Clubs working on the EVAG stand at the Emergency Responders show organised by the Rotary Club of Wells.
moreMembers of the Club and their wives enjoyed a fellowship day at Taunton races
moreMembers of the Club went to Bordeaux for this years International visit, where the were entertained by two local Rotary Clubs. Rotary Club Bordeaux Bouscat and Rotary Club Bordeaux Ouest.
moreThe Club is delighted to assist our Honorary Member Adele Sutton with the Reveal Project.Revealed Projects aims to inspire young people to be confident in who they are and develop skills to build healthy relationships in all aspects of their lives.
moreRotarian Dennis Malpass talked to those present about the tremendous work carried out by the Club i its earlier years.
moreThe Club were entertained by Rotarian John Miles who gave an insight into the charity Global Sight Solutions originally The Guildford Rotary Eye Project.
moreThe Rotary Club of Mendip are the lead Club in assisting a Ugandan Village to be self sufficient.
moreThe club relies on well run administration of both regular and special events and these duties normally fall within the responsibilities of the Vice President
moreThe Club honoured two cave rescue divers from the Cheddar Valley involved in the rescue of the boys in Thailand. Chris Jewell and Connor Roe were presented with the Paul Harris Fellowship Award for their outstanding "Service above Self"
moreThe public Relations Committee
moreThe Rotary Club of Mendip and the Inner Wheel Club of Mendip held a joint fund raising evening at Shipham Village Hall.
moreFoundation - the main Rotary International Charity
moreEncouraging Young people in a wide variety ways is major activity in our club in competitions often lead to district and national finals which is a highly developmental experience
moreActivities range from old peoples outings, assisting with local projects and blood pressure checks to running the Christmas Festive Night event. The photo shows our effort to encourage local businesses with our Young Business Person Annual Award
more