Volunteer With Us

Name *

First

Last

Email *

Phone

Address

Address Line 1

Address Line 2

City

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

Postal Code

Interests *

• Recreation Programs
• Events and Celebrations (Canada Day, NYE, etc.)
• Civic Centre Concerts
• Granville Green
• Large event setup/tear down
• Celtic Colours

Tell us more:

Submit

50th Anniversary Provincial Volunteer Awards Nomination

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 9th at 4:00pm.

Nominee Information *

First

Last

Nominee Phone

Nominee Email

Address

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Address Line 2

City

--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip 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 *

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Last

Nominator Email *

Nominator Phone

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