To nominate an individual fill out the form below. Please use a separate form for each nominee. We look forward to hearing from you!
If you need more information about the awards program or require further instructions please visit rajsainimp.ca/page/volunteer-awards
What is your name?
Your answer
Please provide your phone number.
(XXX-XXX-XXXX)
Your answer
Please provide your email address.
Your answer
May we contact you for more information relating to your nomination? (selecting "no" will not disqualify your nomination)
Name of Nominee (First and Last)
Your answer
What is the nominee's address?
Your answer
What is the nominee's postal code?
Your answer
What is the nominee's federal riding?
Your answer
What is the nominee's e-mail?
Your answer
What is the nominee's phone number?
(XXX-XXX-XXXX)
Your answer
Which category is the nominee to be recognized for? (check all that apply)
Required
Why do you believe this person deserves the Canada Sesquicentennial Award of Recognition?
Please provide plenty of evidence and examples of how your nominee contributes to the community. A large amount of detail and examples to support the outstanding contribution in the category you have nominated them for is crucial to the selection process. More details regarding the selection criteria can be found on rajsainimp.ca/volunteerawards or on facebook.com/rajsainimp (3000 - 6000 characters, approx. 600 - 1200 words)
Your answer
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