Torch Run Ontario

Nomination Form for: Award of Honour & Distinguished Service Award

Name of Nominator*
First Last
Zone*
Name of Nominee*
First Last
Nominee's Service/Agency*
Nominee's Phone*
Cell number is prefered
Nominee's Email*
Enter Email Confirm Email
How many years has the nominee been involved with the LETR?*
Which award are you nominating him/her for?*
Have you read the award(s) description and confirmed this nominee meets the specific requirements?*
Please provide his/her BIO and be as detailed as possible.*
Please describe any leadership positions within the LETR this nominee had held.*
Please describe the nominees fundraising history.*
Any additional information you wish to provide. The more details the better!

Acknowledgement of Traditional Land