Form

YPN Award Nominations

Your First Name:*

Your Last Name:*

Your Email:*

Your Phone Number:*

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Nominee Name (First and Last):*

Nominee's Email:*

Nominee's Current Position/Title:*

Nominee's Association:*

Nominee's Employment Status:*

Nominee's Length of Service in the Y Movement:*

Which award are you nominating them for?*

The supervisor and/or CEO needs to be included: Please ensure the director supervisor and/or CEO has been made aware of this nomination. Include their email below:*

Exceeding Expectations: Describe how the nominee has gone above and beyond in their role?*

Staff & Volunteer Impact: How has the nominee made a positive impact on staff and/or volunteers?*

Community Impact: How has the nominee made a positive impact on members, participants and/or the community?*

Additional Narrative: Please use this space to add any additional comments or measurable outcomes specific to the award they are being nominated for.*