Community Builders Awards Nomination Form
This nomination form is for nominating youth to receive an award. To nominate under a different category, please return to RachaelHarder.ca and select the appropriate link.
Contact Information - Nominator
Please provide your name and contact information. This allows us to correspond with you after the award winners have been selected by our panel.
Name *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Street Address *
Your answer
City/Town *
Your answer
Postal Code *
Your answer
Relationship to Nominee *
Your answer
How did you learn about the Community Builders awards?
Contact Information - Nominee
Please provide the name and contact information of the person you wish to nominate for an award. This will allow us to contact them if they are selected as a recipient.
Name *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Street Address *
Your answer
City/Town *
Your answer
Postal Code *
Your answer
Summary of Community Involvement
This summary is your chance to tell the nominee's story, and provide examples of how they demonstrate their outstanding commitment to the community.

Good nominations include answers to the following questions:

- What makes the nominee stand out?
- What impact does the nominee have on the community, and how far does it reach?
- What was it like before the nominee began their work? How has your community improved?
- How have they earned the respect of others to become a role model?
- Describe the nominee's time commitment to volunteerism and the number of years s/he has served the community.

Please provide a summary of the nominee's community involvement (directions above). *
Your answer
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