Excellence in Volunteerism and Mentorship Nomination Form

Your Name

Relationship to nominee (colleague/friend/family)

Relationship to Canadian Red Cross (Instructor/volunteer/staff)

City/Town

Province or Territory

Postal Code

Phone (Optional)

Email

Name of nominee

Address of nominee

Telephone of nominee

Email of nominee

Describe the nominee’s history/experience of volunteerism and mentorship in their community

[250 words max]

Describe the impact of the nominee’s volunteerism and mentorship in their community

[250 words max]

Describe how the nominee demonstrates a commitment to the Fundamental Principles in their volunteerism

[250 words max]

Please include any images or supporting documents that you feel are relevant to the nomination

Please select a file

Notes

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