2014 Man/Woman of the Year Nomination

Please fill out to the best of your ability. If you have any questions, contact Kim Durand kdrotary@hotmail.com

Your Name

This is the name of the nominator, not the nomitatee

This is a required question

Your e-mail

So we can confirm nomiation form and alert you if your candidate was chosen.

This is a required question

Nominee's Name

Who is the wonderful person deserving of this recognition?

This is a required question

Is this a nomination for a Man or Woman?

We'll select one from each category.

Male
Female

This is a required question

Nominee's Club/Organization?

Which club/organization best represents the nominee?

This is a required question

Narrative:

Include 1) work within the club/organization 2) in the wider community 3) any additional recognitions or awards. Emphasis should be placed on contributions to the community.

This is a required question