Online Nomination Form

Nominee's First Name

Nominee's Last Name

Nominee's Address

Nominee's City

Nominee's Postal Code

Nominee's Phone Number

Nominee's Email

I Your Name nominate the above person, (living or deceased) for the Aldershot Community Honour Roll Award. The individual I am nominating is worthy of the award due to his/her leadership, vision, creativity, innovation, initiative and/or special qualities that have impacted on and benefited the Aldershot community and/or made a contribution beyond Aldershot. Please provide a detailed description of each of these accomplishments (at least 3 relevant examples). We encourage you as nominator to be as thorough as possible. These will enhance your submission. A minimum of one photo is required. The more information we have with details and examples the better we will understand your nominee.

Example #1

Example #2

Example #3

Please provide us with at least 2 references who know of and can describe your nominee's involvement in the community. Your reference may submit supporting material:

Reference #1 Name Phone/Email

Reference #2 Name and Phone/Email

Have you submitted the following?
ReferencesSupporting Material

Nominator (YOU)

First Name*

Last Name*

Email*

Address

City

Postal Code

Phone

How do you prefer to be contacted?
PhoneEmail

OR send this form along with all supporting documentation to achrburlington@gmail.com,

Aldershot Community Honour Roll- Nominations

c/o 780 Cranston Court, Burlington, Ontario L7T 2Y5

or call Karen Phelps at 905-510-2263