Nomination Form for Volunteers and Volunteer Groups/Organizations in Memramcook

Contact information of person making the nomination

Name *

Telephone *

Information about the nominated person, group or organization

Name of the person, group or organization *

Contact person (if applicable)

Person's title (if applicable)

Telephone

Address

Volunteer service period (from which year to which year) *

Which category is the nomination for? *

Senior (65+)

Youth (17-)

Involved citizen (any age)

Group/organization

Description of the individual's or group/organization's background and volunteer activities *

Nominators are encouraged to submit supporting documentation, such as newspaper articles, photos, etc., with their nominations.

Documents can be submitted by e-mail to This email address is being protected from spambots. You need JavaScript enabled to view it. or dropped off in person at the municipal building (540 Centrale St.) during opening hours.

Phone