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Haut-Saint-Laurent Volunteer Award

Nomination form

Limit of three (3) candidates per organization
Provide contact information allowing the organizing committee to reach the nominees directly.
Please make sure the name of the nominee is spelled correctly.

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.

For more information: Anyze Goyette | 450-829-2321, ext. 1325 | anyze.goyette.cssshsl16@ssss.gouv.qc.ca

Please complete this form by March 31, 2023.

Form

You can also download the form, fill it out and return it by email before March 31, 2023, to anyze.goyette.cssshsl16@ssss.gouv.qc.ca.

"*" indicates required fields

Name of applicant*

Applicant's language of communication*

French

English

Volunteer's City of Residence*

Dundee

Godmanchester

Elgin

Franklin

Havelock

Hinchinbrooke

Howick

Huntingdon

Ormstown

Saint-Anicet

Sainte-Barbe

Saint-Chrysostome

Très-Saint-Sacrement

Volunteer's phone number*

Volunteer's email

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

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*

Effects of involvement*

Text given to the nominees at the Volunteer Awards Night*

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.