Volunteer Recognition Form - Victoria County

Volunteer Recognition Form

Please select what type of Nomination you are making: *

Youth
Organization
Individual
Nova Scotia Strong Award

Nominees must be residents of Victoria County and cannot be a County Councillor or an employee of the Municipality of the County of Victori

It is My Pleasure to Nominate: *

Name of the Individual / Organization being Nominated

Address *

Address Line 1

City

State / Province / Region

Postal Code

Phone *

Home & Cell

Email *

Volunteer Biography *

Please describe the nominee’s volunteer activities, impact they had on the community and why you believe they should receive a volunteer award.

Nominated By: *

Nominators can be individuals, groups or organizations.

Nominator Address *

Address Line 1

City

State / Province / Region

Postal Code

Nominator email *

Phone (copy) *

Home & Cell

Age

only applicable for Youth Award, nominee must be aged between 13 to 24