Volunteer of the Year: Nominate a Volunteer

Volunteer Representative Nomination Form

Award Criteria

The Nominee or Volunteer Representative must:

1) Be a resident of The Town of Port Hawkesbury.

2) Have not been previously awarded the NS Volunteer Representative Award

3) Be willing to be selected and attend. (Representative Volunteers are invited to attend the Provincial Volunteer Awards Ceremony, Wednesday, September 18th)

4) Nominations must be received by May 23rd at 4:00pm

VOLUNTEER NOMINATION FORM:

Nominee Information *

First

Last

Nominee Phone

Nominee Email

Address

Address Line 1

Address Line 2

City

--- Select state ---British ColumbiaOntarioQuebecAlbertaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutPrince Edward IslandSaskatchewanYukonProvince

Postal Code

Volunteer Impact

Summarize the overall impact the Volunteer Representative has made to the Town of Port Hawkesbury and what makes this Volunteer Representative stand out. i.e. years of service, commitment/dedication to cause.

Nominator *

First

Last

Nominator Email *

Nominator Phone

Submit