View - The Municipality of Lambton Shores

Email:
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Signature: _________________________________ Date: _______________________
Nominator #2 Information:
Full Name:
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Relationship to Nominee:
Mailing Address:
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____________________________________________________
____________________________________________________
Daytime Phone Number:
Email:
____________________________________________________
____________________________________________________
Signature:
__________________________________ Date: _______________________
** Two nominators are required for all nominations.
Nominee’s Volunteer Activities:
Organization Position Held Description of Duties Years of Service
Nomination Questions:
** Please be as specific and detailed as possible, add additional pages if necessary. Please
print clearly. See the scoring sheet for how each question is weighted.
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