Community Builder Award Nomination Form

Please fill out the below information to submit a nominee for consideration.

 

Your Contact Information

 

Nominee's Contact Information

 

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Personal information in relation to this process is collected under the authority outlined in the Municipal Freedom of Information and Protection of Privacy Act.  This information will be used only for the purpose for which it is intended.  If you have any questions regarding this collection of personal information, you can contact the Freedom of Information and Privacy Coordinator, who can be reached through the Clerk’s Office at (519) 740-4680. Ext 4583.