NOMINATION FORM—Outstanding
SAR Achievement Award and Certificate
For more information go to www.nss.gc.ca/site/awards/index_e.asp
Deadline July 9, 2008
CANDIDATE INFORMATION

Name ______________________________ Number of hours/year dedicated to SAR _______

Profession / Occupation ________________________ Number of years in SAR _______

Address ____________________________________________________________________________

City_______________________ Province _________ Postal Code __________

Telephone ____-_______-___________ Fax ____-_______-___________

E-mail ______________________________________________________________________________
The nominated person or group is a SAR Volunteer ______ Paid employee ______
REASON(S) FOR THE NOMINATION (use a separate sheet)

 

 
GUIDELINES
1. Fill out candidate information above.
2. On a separate page, write the reasons for the nomination. Be as detailed and descriptive as possible. Include:
(a) nature of candidate’s contribution to SAR ; (b) the significance of the candidate’s SAR contribution; and (c) the context of the contribution (achievements, challenges and setbacks). Please refer to the award criteria in the Rules for more detail.
3. Provide an up-to-date biography of the nominee (as it pertains to SAR, including any awards/honours received).
4. Provide two references to support the information provided, including all contact information.
5. Fill out the nominator information.
6. Attach supporting information to nomination form.
7. Submit nomination to the Awards Program Co-ordinator.
REFERENCES (use a separate sheet if necessary)

1.

2.
NOMINATOR INFORMATION
Name _____________________________________________________________________________

Profession / Occupation ________________________________________________________________

Address _____________________________________________________________________________

City _____________________ Province ________ Postal Code ____________

Telephone ____-_________-___________ Fax ____-_________-____________

E-mail ______________________________________________________________________________

Signature __________________________________________ Date _____________________
SEND THE NOMINATION FORM AND SUPPORTING INFORMATION TO:
Awards Program, National Search and Rescue Secretariat
275 Slater Street, 4th Floor, Ottawa, ON K1A 0K2
Telephone: 1 800 727-9414 Fax: (613) 996-3746
E-mail: inquiry@nss.gc.ca