Domestic Blitz - nomination form

Domestic Blitz - nomination form
Do you know someone who deserves a helping hand? The Domestic Blitz team will be returning in 2010 to bring some well-earned joy to the lives of truly inspirational families. Domestic Blitz can only consider people who own their home (this includes properties with mortgages). Most importantly, don't tell the person you are nominating them! Domestic Blitz is based on surprising recipients.
Your name:	*

Your e-mail address:	*

Contact number:	*

Nominee's name (recipient):	*

Nominee's age:	*

Nominee's address (please include Suburb and State):	*

How many people live with the nominee? Please list names and ages:	*

Please tell us why you think this person deserves a surprise house and garden renovation by Domestic Blitz.	*

What does the nominee do for a living?	*

How would you describe the nominee's personality?	*

How does the nominee give back to the community?	*

From your experience and knowledge, what is the most amazing thing this person has done?	*

From your experience and knowledge, has this person had any traumatic experiences? If yes, please describe.

Does the nominee own their home?	*	Yes No

Can you describe what their house looks like?	*

Please list, if possible, what their 'wish list' for home renovations would be.

Is there anything else you would like to add about the nominee?

Please attach a photo of the nominee or one which may be relevant.

		* required field

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