Nomination Form

Nominations are open until 4th September 2021

There are two ways to nominate your Autism Hero

1. Please click on the button below to download the nomination form: 

Complete this form and either email with a short video to

Or if you prefer send by post to: Anna Kennedy Online, Brook House, 54a Cowley Mill Road, Uxbridge UB8 2FX
The video can be sent by email links, memory stick or file sharing platforms.



2. Complete your application online using the online form below:-

Nomination Form