Volunteer Nomination Form

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 13, 2017.
Please complete all fields before you submit the form.

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

Address (including city and postal code) of Nominee

Phone Number of Nominee

Name of Nominator (you)

Phone Number of Nominator

Has the Nominee devoted a minimum of 40 hours to being a volunteer in 2016?(required) Yes

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.

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

Please explain why your candidate qualifies for this award IN AS MUCH DETAIL AS POSSIBLE.

Regional Aboriginal Recognition Awards