Volunteer of The Year Award Nomination Form

Nominee:

Name:

Maiden Name:

Street Address/Box Number:

Community & Province/State:

Postal Code:

Email:

Phone:

Date & Place of Birth:

If deceased, please provide date of death:

Please provide a photo of the nominee electronically if available. Please feel free to attach

information as well as completing this form.

Nominator:

Name:

Street Address/Box Number:

Community & Province/State:

Postal Code:

Email:

Phone:

Date of Nomination:

Signature of Nominator:

List all major contributions of the nominee which you feel merit consideration as Volunteer of the Year.

Comment on the nominee’s demonstration of exemplary values and personal characteristics.

Comment on how the nominee has made a defining contribution to the sport of Pickleball.

Provide any other comments or information which you feel would further support the nominee’s election as the Volunteer of the Year.