Black Excellence in Leadership Awards (BELA) Nomination 2022
The BELA awards were created to acknowledge and celebrate Black excellence in Kitchener Centre - people who exemplify exceptional community leadership, work to improve the lives of racialized communities, and contribute to Kitchener Centre, Waterloo Region, and beyond.

Eligibility Criteria:

- Recipients must not have received this award in the past.
- Recipients should identify as Black, but nominators can identify as any race or ethnicity.
- Nominees must reside within the riding boundaries of Kitchener Centre. Ridings can be determined by entering nominee postal codes at: www.elections.on.ca/en/resource-centre/electoral-districts

Deadline: March 17th 2022
Celebration: Virtual, March 21st 2022 @ 6:00pm EST
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E-Mail-Adresse *
Nominee Contact Information
This is to be completed with the information of the person you are nominating for the award. Yes, you can self-nominate!
Nominee Name [First and Last] *
Nominee Pronouns *
Nominee Address *
Nominee Postal Code *
Nominee Phone Number *
Organization(s) The Nominee Works With [If Applicable] *
Areas of Contribution [Why are you nominating this person?] *
Nominator Contact Information
This section is to be completed by the person nominating the recipient.
Nominator Name [First and Last] *
Nominator's Pronouns *
Nominator's Address *
Nominator's Email Address *
Nominator's Phone Number *
What is your relationship with the nominee? *
Thank you for your nomination!
Notice of Collection: Personal information contained on this form is collected to administer BELA Awards and will be used to determine suitability for an award.

Questions should be directed to: Julie Robbescheuten (LLindo-CO@ndp.on.ca)

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