Required fields are marked with asterisks (*)

8285 Majestic Hills Drive, Cobourg, ON K9A 4J7
Mailing address: PO Box 1060, Cobourg, ON K9A 4W5
t: 905-342-2810 | info@hamiltontownship.ca

Township of Hamilton Community Recognition Awards

Township of Hamilton Community Recognition Awards Nomination Form

Please ensure all informtion submitted is complete and accurate, including spelling of names and addresses. The Community Recognition Awards Advisory Committee is only able to use the information provided in the application to determine if the nominee is eligible to receive an award. Please contact the Township of Hamilton if you require a printed copy of this form.

Eligibility and Conditions

Every submission must be completed on the Township of Hamilton Nomination Form and must include the First Name, Last Name, email address and phone number of both the Nominator and the Nominee.
Nominees must reside or operate their organization in the Township of Hamilton. However, the selection committee may choose to honour a non-Township of Hamilton resident or organization with strong ties and contributions to the community. Nominators do not have to reside within the Township.
Nominations must include a detailed explanation of the achievement or contribution including the impact/benefit to the community and the level of commitment of the Nominee.
Nominations must also provide at least one signed testimonial letter that details the value and impact of the achievement or contribution. These letters must indicate knowledge of the achievement/contribution as well as support of the Nominee. Additional testimonials, publications, newspaper articles and media stories may also be submitted.
Self Nominations will not be accepted.
Nominees may be eligible in more than one category, however, the Community Recognition Awards Advisory Committee reserves the right to determine which category the Nominee will be considered for, to ensure equity.
Nominees must not have won the same award within two years.
Present members of Council, staff, and volunteers (including Advisory Committee members and volunteer firefighters) of the Township of Hamilton are not eligible for nominations recognizing contributions made while performing their duties.

Nominator Name

Nominator Organization

Nominator Address

Nominator Email

Nominator Telephone

Nomination Award Category

Mayor's Award of Excellence

Outstanding Youth

Environment Award

Good Neighbour Award

Innovation Award

Volunteer Service Award

NOMINEE Name

NOMINEE Parent Name (if nominee is a youth)

NOMINEE Address

NOMINEE Email

NOMINEE Telephone

Provide a detailed explanation of the Nominee's achievement or contribution including the impact/benefit to the community:

Signed Testimonial Letter (minimum of one required)

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Any Additional Supporting Documentation

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Nomination Check-list:

Nomination Form completed in full

Explanation of achievement/contribution included

One signed testimonial letter included

Nominator Declaration: I declare to the best of my knowledge that all information on this form and all supporting documentation is accurate and true and that the Nominee is a qualified candidate per the Eligibility Criteria. Sign below.

Clear

Personal information contained on this form is collected under the authority of Section 4 of the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA) and will be used for processing Community Recognition Awards nominations. Questions about this collection of information should be directed to the Clerk’s Department by mail to PO Box 1060, 8285 Majestic Hills Dr, Cobourg, Ontario, K9A 4M5, telephone at 905-342-2810, or email to clerks@hamiltontownship.ca.