YMCA Calgary - 2010 Peace Medal Nomination Form

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Aboriginal Programs

2010 Peace Medal Nomination Form

Nomination Criteria Thank you for your interest in YMCA Calgary Peace Medals! The online nomination form is below. If you prefer to use a downloadable nomination form, please click here. Please read nomination criteria carefully before submitting: Nominees must reside within a 100km radius of Calgary and have conducted peace work between October 2008 and October 2010. Nominees in International categories should have conducted work that primarily benefitted people around the world. Nominees in Community categories should have conducted work that primarily benefitted people locally. Youth nominees must be aged 18Y or younger. Nominations will be judged solely on the information provided by the nominator. Deadline for submissions is October 1, 2010. For more information or to submit materials to further support the submission, please contact Dan Taubensee, YMCA Calgary International Manager at (403) 531-1655.

Award category

Community Peace Initiatives - Individual	Community Peace Initiatives - Group
Community Peace Initiatives - Youth/Youth Group (18Y or under)	International Peace Initiatives - Individual
International Peace Initiatives - Group	International Peace Initiatives - Youth/Youth Group (18Y or under)
Humanitarian - for an individual who embodies peace in his/her everyday life	YMCA Staff - for peace initiatives done outside work at YMCA

NOMINEE INFORMATION

Nominee name (individual or group)

Contact name for group nomination (if applicable)

Nominee contact information (include address, day & evening phone and email):

NOMINATOR INFORMATION

Nominator name

Contact name for group nominator (if applicable)

Your contact information (include address, day & evening phone and email):

ABOUT THE NOMINEE

Provide a brief history of the organization or group (if applicable).

Describe the work performed. What were the individual's/group's roles and responsibilities?

How has this peace initiative changed people's lives?

Explain any collaboration with other groups or individuals.

FOR HUMANITARIAN NOMINEES ONLY:

How does this person embody and model peace in their daily life?

Describe the impact this person has on people and/or the community as a peace ambassador.