Volunteer of the Year Nomination Form

Important Points

Remember: the Selection Committee does not know your nominee at all, so please answer each and every question with as much detail as possible.
Nomination deadline is January 11, 2019.
Please complete all fields before you submit the form.

Nomination Details

Name of Nominator (person filling out this form)

Phone Number of Nominator

Email Address of Nominator

Name of Nominee (person you are nominating for the award)

Address (including city and postal code) of Nominee

Phone Number of Nominee

Email Address of Nominee

Please Circle One: First Nations

Métis

Inuit

Name of FN/Métis Local

Has the Nominee devoted a minimum of 40 hours to volunteering in 2018?

Tell us how long this person has lived in the region or when this person lived in the region and for how long.

List the agencies, duties, and length of time as a volunteer with each agency.

Tell us in what ways this person has made an impact on the community.

Tell us about some of the accomplishments of the Nominee as a volunteer.

Tell us what it is about this person that makes them a good volunteer.

Please explain why your candidate qualifies for this award in as much detail as possible. (If selected, this information will be used as the biography for the recipient that will be presented to them.)