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Senior Citizen Award - Nomination Form

Recipients of the Town of Wasaga Beach Senior of the Year Award recognizes people who have made outstanding contributions to their communities through voluntary or professional activities after the age of 65. Please note that only information included on this form will be considered in the award evaluation and selection process.

Nominator Information

First and Last Name:

Phone Number

Email Address:

Nominee Information

Please answer the following questions and provide relevant information as to why you are nominating this individual for the Emergency Service Award.

Nominee First and Last Name:

Nominee Address

Postal Code

Phone Number

Email Address:

Age

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:

Resource Upload

Please attach any related assets (images, logos, videos, PDFs, documents, etc.) to support this nomination. Supporting materials may include:

Testimonials – Letters of support from individuals who are familiar with the nominee's community involvement.
Clippings – Newspaper or journal accounts that highlight the nominee's commitment.
Photographs – Useful for illustrating the nominee's involvement and any previous awards or recognition.

Upload files here

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

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 a Review Committee. Questions about this collection should be directed to the Clerk at the Town of Wasaga Beach.

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Senior Citizen Award - Nomination Form

Nominator Information

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