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Nomination Application for Citizen/Senior of the Year Awards

Nominate someone who makes a real difference in your community and give them the opportunity to be rewarded and recognized for their important contribution. Please select appropriate award. Additional letters of support and material are very helpful and may be attached.

Which award are you nominating this individual for?

Oro-Medonte Citizen of the Year

Ontario Senior of the Year (must be over 65 years old)

Both Awards

Nominee:

Nominee's Phone Number:

Nominee's Address:

Please detail the nominee's commitment / contribution to community service:

Please describe how the nominee demonstrates support and leadership for a lasting quality of life in the community:

Please list the volunteer involvement with associations, charities, societies and institutes:

Please describe how the nominee demonstrates outreach and assistance to those citizens in need:

Please detail how the nominee is an inspiring role model with a desire to make a positive impact to the community:

Additional Comments:

Please upload any additional material or letters of support below:

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Have you notified/obtained permission from the nominee?

Yes

Nominator's Name:

Nominator Consent:

I consent

I do not consent

Date:

Nominator's Phone Number:

Email Address:

Application must be submitted prior to 12:00 p.m. (Noon) on Friday, March 7, 2025.

Notice of Collection: Personal information contained on this form is collected pursuant to The Municipal Freedom of Information and Protection of Privacy Act, and the Municipal Act, 2001, as amended. The information will be used to evaluate the nominees by an Advisory Group. Questions about this collection should be directed to the Clerk at the Township of Oro-Medonte.