Valuing Young Volunteers and Leaders

Valuing Young Volunteers and Leaders

NOMINATION FORM

How to nominate

Anyone may submit a maximum of two nominations for a person age (6-14) Making the difference in the community. Each nomination must be submitted on a separate form. Incomplete forms may be considered ineligible for assessment.

Send your completed form to:

Maya’s Friends

Operation Community Needs

1792 Hallmark avenue

Windsor Ontario N8W4Z5

[email protected]

Applications close

April 1St, 2018

Nominee details

First name:

Surname:

Nominee’s postal address: (include postcode)

Nominee’s phone number:

Nominee’s email address:

Name of  organisation the nominee provides volunteer services to:

Nominee’s length of volunteering service (i.e. number of years, or number of hours):

Nominee’s visions and interests:

Recognition criteria

When making your nomination, please provide short statements describing why you choose the Nominee?

1.     Demonstrated benefit to the community and the well being of others at a local, regional provincial or national level.

2.     Demonstrated achievements of the nominee and the work for which he/she is being nominated.

Nominated by

Name:

Organisation:

Address: (include postcode)

Telephone:

Mobile:

Email:

Relationship to nominee:

Signature

Date:

References

Name of referee 1:

Address: (include postcode)

Phone number:

Email address:

Name of referee 2:

Address: (include postcode)

Phone number:

Email address: