Victoria Community Leadership Awards 2019 Nomination Form
Your Phone Number
Your Email Address
Who are you nominating?
Their Phone Number
Their Email Address
Does this leader know what you are nominating them?
150 word biography of your nominee
What organization or project is this leader primarily associated with?
Is this Leadership part of their employment?
What Category best describes this Leader's Contribution?
Healthy Standard of Living
Thriving Children and Youth
Belonging & Engagement
Healthy Safe Environments
Health & Wellness
Arts & Culture
Getting Started in our Community (New Canadians)
Innovative Science & Technology
Why are you nominating this leader?
Tell us about the community problem your nominee is working to solve. Share the details.
What group of people has been positively impacted by the community leadership of your nominee?
What problem is being solved by this Leadership?
Approximately, how many people have been impacted by this leadership?
What geographic area(s) in the Capital Region are affected/benefited by the community leadership of this person?
What Challenges has this Leader Overcome?
Is there anything else we should know?
Names, email address, and phone numbers of two people who have been positively impacted by this nominees leadership.
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