Community Builders Awards Nomination Form
This nomination form is for nominating an adult (over 25) to receive an award. To nominate under a different category, please return to RachaelThomas.ca and select the appropriate link.
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Contact Information - Nominator
Please provide your name and contact information. This allows us to correspond with you after the award winners have been selected by our panel.
First Name *
Last Name *
Phone Number *
Email Address *
Street Address *
City/Town *
Postal Code *
Relationship to Nominee *
How did you learn about the Community Builders awards?
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Contact Information - Nominee
Please provide the name and contact information of the person you wish to nominate for an award. This will allow us to contact them if they are selected as a recipient.
First Name *
Last Name *
Phone Number *
Email Address *
Street Address *
City/Town *
Postal Code *
Summary of Community Involvement

This summary is your chance to tell the selection panel how you know the nominee, what makes them great, and provide examples of how they demonstrate outstanding service to our community.

To make your nomination as strong as possible, please consider the following questions:

  • Contributions to our community: Briefly describe the initiatives or projects of the nominee.
  • Role(s): State the nominee’s role in each initiative/project (e.g. volunteer, participant, leader, coach, organizer, founder, etc.)
  • Time commitment: Describe the nominee's time commitment to each initiative/project and the number of years the nominee has been involved.
  • Results/ Impact: Provide specific examples of how the nominee’s contributions have made a difference. What was accomplished? How is the community better because of the involvement of the nominee? Would the initiative/ project have taken place without them?
  • Reach: How far does the impact go? Who has benefitted from the nominee’s actions? How has the nominee inspired others?
  • Other unique considerations: Is there anything unique we should know about the nominee or challenges they’ve overcome? 

Please provide a summary of the nominee's community involvement (directions above). *
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