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Haut-Saint-Laurent Volunteer Award

Nomination form

Please complete this form before March 20, 2024.

Please note that the content of the answers to this questionnaire will enable the Selection Committee to assess the applications according to the following criteria:

The nature and amount of time devoted to volunteering
The role played by the volunteer
The impact of volunteering on the community (inspires others to volunteer; meets a need)

The winner from each category will be in the running for the “2023 Haut-Saint-Laurent Volunteer Award”. The event will take place on May 17, 2023, from 4:00 p.m. to 6:30 p.m.

Limit of three (3) candidates per organization
Provide at least one way to allow the organizing committee to reach the nominees directly, either by email or by phone.
Please make sure the name of the nominee is spelled correctly.

For more information: Anyze Goyette | 514-793-7483 | anyze.goyette.cssshsl16@ssss.gouv.qc.ca

Form

You can also download the form, fill it out and return it by email before March 20th, 2024, to anyze.goyette.cssshsl16@ssss.gouv.qc.ca

"*" indicates required fields

Candidate's name*

Candidate's language of communication*

French

English

Candidate's City of Residence*

Dundee

Godmanchester

Elgin

Franklin

Havelock

Hinchinbrooke

Howick

Huntingdon

Ormstown

Saint-Anicet

Sainte-Barbe

Saint-Chrysostome

Très-Saint-Sacrement

Candidate's Phone number*

Candidate's E-mail

Categories*

INDIVIDUAL CATEGORY: Involved in a community organization (association)

INDIVIDUAL CATEGORY: Involved in their municipality

INDIVIDUAL CATEGORY: Involved in an institution (school or healthcare)

COLLECTIVE CATEGORY: Volunteering as a family or as a group

COLLECTIVE CATEGORY: Business (Corporate Volunteering)*

*The Corporate Volunteering award recognizes companies that are involved in the community on a volunteer basis or that stand out through the introduction of incentives that promote volunteer involvement among their staff.

Nature of the volunteer work*

Frequency*

Quantity of time given back to the community*

Volunteering since when

Volunteering Beneficiaries

Impact of the volunteer’s involvement

Leadership

Introduce your candidate*

The text above will be given to the nominee at the Volunteer Awards evening. For the sake of fairness, texts exceeding 100 words will be shortened.

Nominator's name*

Nominator's position*

Nominator's organization*

Nominator's city*

Nominator's phone number*

Nominator's email

Comments

This field is for validation purposes and should be left unchanged.

450 264-9042

info@cdchsl.org

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