Town of Richmond Hill - The 50th Annual Volunteer Achievement Awards Nomination Form

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The 50th Annual Volunteer Achievement Awards Nomination Form

Criteria for submitting this form:

If you would like to be nominated, please have a nominator complete and submit a Nomination Form for you. As a nominee, you are not eligible to nominate yourself.

Please include two Letters of Reference for each Nomination and a brief Biography (details noted below).

Please be sure to complete your Volunteer Achievement Award Nomination Form in full; incomplete forms will not be accepted.

The deadline for 50^th Annual Volunteer Achievement Awards nominations is Friday, February 24, 2012.

Eligibility Requirements:

Nominee must be 18 or older.

A minimum of five consecutive years of volunteer service is required (35 hours per year).

The nominee must be a Richmond Hill resident.

Nominees must not have received payment for their volunteer work or performed the services as part of their regular business or professional duties.

Nominees must be active beyond simple membership in the organization.

* Required field

NOMINEE INFORMATION:
* Name:
* Address:
* Province:
* Postal Code:
* Business Phone: () -
* Residence Phone: () -
* E-mail address:

NOMINATOR INFORMATION:
* Name:
* Address:
* Province:
* Postal Code:
* Business Phone: () -
* Residence Phone: () -
* E-mail address:
* Community group affiliation (if applicable):

SERVICE INFORMATION: Please select the appropriate category of volunteer service provided by the nominee:
Arts Environment Human Resources	Recreation/Sport Sciences Heritage Preservation
Other (please specify)

* RATIONALE FOR NOMINATION:

Please provide a brief biography of the volunteer's service history and background information on the rationale for submitting this nomination. All nominations must be typed and submitted on no more than two (2) typed pages (800 words).

Please submit two Letters of Reference electronically or in hard copy to the contact information below.

File 1:
File 2:

The Town does not collect or use your e-mail address or any other personal information about you without permission. Please take a moment to see our privacy policy.

* NOMINATION AGREEMENT:

I confirm that I wish to submit this volunteer nomination form for consideration of the 2012 Town of Richmond Hill Volunteer Achievement Awards and that all information provided is accurate. Should the Awards Committee require additional information or clarification of the award nomination, I agree to be contacted via the information provided above.
NOTE: Only nominators will be contacted

I have read and understand the nomination agreement.

or kindly forward all relevant nomination documentation to:

Town of Richmond Hill - Volunteer Awards Committee
c/o Dan Di Ruscio, Events Coordinator
8th Floor, Community Services Department
225 East Beaver Creek Road
Richmond Hill, ON L4B 3P4

Phone: (905) 771-5513
Fax: (905) 771-2481
E-mail: ddiruscio@richmondhill.ca

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