Do you know a volunteer who has had a profound impact in your community?
In celebration of Canada’s 150th anniversary, we are offering the Canada 150 Service Medallion – a commemoration coin in recognition of Brandon-Souris
volunteers who have made outstanding contributions in their community.
Nominations for this award is for deserving individuals who, through their
volunteerism, have enriched the lives of others and have made a lasting impact in their community.
To download the nomination form, click
Volunteers who meet the following criteria are eligible for a Canada 150 Service Medallion:
- Demonstrates initiative, leadership, and creativity in his/her service to others;
- Serves as a role model for others in his/her community; or,
- Improves the overall quality of life of fellow citizens and the community as a whole.
Ensure the nominee’s volunteer efforts are voluntary and not paid.
Nominees must be a resident of Brandon-Souris and a Canadian Citizen.
Nominators may only nominate one person
All areas of the nomination form must be completed.
Award Selection Process
All applications will be presented to the selection committee.
Describe the impact the nominee has had and include as much of the volunteer’s history as possible.
Nominators will receive a letter informing them of the status of their nominee.
All nominees will receive a letter thanking them for their community contribution.
30 volunteers will be selected to receive the Canada 150 Service Medallion.
Those selected will be presented their Canada 150 Service Medallion at an event in July, 2017.
Part 1: Nominee For Canada 150 Service Medallion:
Part 2: Volunteer's Contribution
Describe the Nominee's Contributions.
Describe how they demonstrated initiative, leadership and creativity. What skills or talents did they contribute?
Part 3: Volunteer's Impact
Describe the difference the nominee has made.
Who has been affected? How have they been affected? What changes have occurred? What is different in the community?
Part 4: Brief Summary to be read at the Ceremony
From the information provided above, please provide a brief summary (1-2 sentences only) that highlights the nominee's volunteer involvement, which can be read during the ceremony and used in the event program.