Nomination Form

• Question 1

  How has your boss helped you balance your work and home lives, and what effect has this had at work and at home?
  
  

• Question 2

  How does your boss contribute to making your work team successful?
  
  

• Question 3

  What sort of role model is your boss in terms of work-life balance?
  
  

• Question 4

  Is there anything else you would like to tell us about why your boss is the best in Britain?
  
  

• Application details

  All fields are mandatory

  We just need a bit of information about you before we process your nomination form. We won't share this information with anyone else. You can read our privacy policy here.

  Your details

  Your first name:
  Your last name:
  Your job title:
  Your tel number:
  Your email:
  Gender:	Male Female
  How did you hear about Britain’s Best Boss?:	Please select Working Families website BT Yahoo Facebook YouTube Other website Email from a friend Email from Working Families Newspaper or magazine Radio or TV Other
  Please specify

  Your boss’s details

  In order to complete your nomination we need to know a few details about your boss. Please fill in the fields below with information about your BOSS:

  Boss’s first name:
  Boss’s last name:
  Boss tel No.:
  Boss’s email:	Please ensure that this address is not shared with anyone else
  Confirm boss’s email:
  Gender:	Male Female

  Details about your company

  Company name:
  Company tel number:
  Company address:
  Post code:
  Region:	Please select Scotland North East North West Yorkshire and Humber West Midlands East Midlands East of England London/Greater London South East South West Wales Northern Ireland
  Sector:	Please select Private Public Voluntary
  Nature of organization:	Please select Agriculture, forestry and fishing Arts, sports and recreation Catering and accommodation Construction Education Health and social care services IT and telecommunications services Manufacturing Media and creative services Mining, energy and utilities Personal services Professional and business services Retail, hire and repair Transport and distribution Wholesale Other
  Please specify
  Size:	Please select Small (less than 50 employees) Medium (less than 250 employees) Large (more than 250 employees)
  Approximate number of employees in Boss's team:

• Working Families is registered under the Data Protection Act and all information you supply through this response will be treated under the terms of the Act. Occasionally we would like to send you further information about our work. If you do not wish to receive this information, please tick here.