Excellence in Volunteerism and Mentorship Nomination Form

Nominator Details:

Your Name:*

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Relationship to nominee (colleague/friend/family):*

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Relationship to Canadian Red Cross (Instructor/volunteer/staff):*

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City/Town:*

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Province or Territory:*

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Postal Code:*

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Phone (Optional):

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Email:*

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Nominee Details:

Name of nominee:*

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Address of nominee:*

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Telephone of nominee:*

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Email of nominee:*

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Describe the impact of the nominee’s volunteerism and mentorship in their community:*

[250 words max]

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Describe the nominee’s history/experience of volunteerism and mentorship in their community:*

[250 words max]

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Describe how the nominee demonstrates a commitment to the Fundamental Principles in their volunteerism:*

[250 words max]

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Please include any images or supporting documents that you feel are relevant to the nomination:

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Notes:

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Thank you for your nomination! All submissions are reviewed monthly. The award selection committee reviews and assesses all nominations in February each year and the annual award recipient is announced in March. Please contact volunteerismaward@redcross.ca with any questions.