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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.


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