Visionary Award - Nomination Form
The purpose of the Visionary Award is to honour and offer recognition to members of the Child and Youth Care field that have made significant contributions to the growth and evolution of Canadian CYC practice, education, and professional advancement. Recipients of this award would be acknowledged as having clearly expressed and acted on their support to practitioners throughout their professional career, publishing literature and supporting professional CYC organizations in Canada.

Visionary Award recipients may be identified through member associations of the CCCYCA or by individual CCCYCA Directors. The decision regarding the award recipient will be made during at a CCCYCA meeting prior to the National Conference.

Nomination Forms are only accepted through this electronic form.
For questions or concerns, please email

Nomination Process

CCCYCA Directors are to provide a name/names from their province (or personal nominations) which outlines how the nominee fits with the intention of the award:

Below, submit a 250 word submission addressing the three pillars of the award: the individual has made significant contributions to the growth and evolution of Canadian CYC practice, educational and professional advancement.

Please note: the nomination committee relies upon the impression of the written nomination submitted.

Nomination Deadline: APRIL 15, 2020

*Nominees shall not be sitting members of the CCCYCA
*Nominees do not need to be a member of their provincial association
*CCCYCA as a whole discusses the nominations during the conference call prior to the National Conference, and determines a recipient or recipients
*There is no requirement that the Visionary Award has to be awarded.
*There may be more than one Visionary Award recipient in any given conference year.
*The recipient or recipients will receive a framed certificate and non-transferable lifetime National Conference registration, at no cost.
*Recipient or recipients may be notified by a representative of the CCCYCA in a timely manner so that they may choose to attend the upcoming National Conference to accept the award in person.
Nominator's Name (your name) *
Your answer
Nominator's Email Address *
Your answer
Nominator's City *
Your answer
Nominator's Province *
Your answer
Nominator's Postal Code *
Your answer
Nominator's Member Association *
Nominee's Name (person you are nominating) *
Your answer
Nominee's Email Address *
Your answer
Nominee's City *
Your answer
Nominee's Province *
Your answer
Nominee's Postal Code *
Your answer
Nominee's Member Association *
Is the person you are nominating aware of the nomination? *
Please insert your 250 word letter of nomination here: *
Your answer
Never submit passwords through Google Forms.
This form was created inside of Council of Canadian Child and Youth Care Associations. Report Abuse