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Centre Wellington Chamber of Commerce

2018 Awards of Excellence Application Form

Youth Citizen of the Year Award

The Township of Centre Wellington Parks and Recreation Department sponsors The Alvin Shortt Award, recognizing outstanding youth (25 and under) within the Township of Centre Wellington.  The individual must maintain a high level of proficiency in their activity while, at the same time, volunteering and giving back to the community of Centre Wellington. This award recognizes excellence in youth in Centre Wellington with leadership, sportsmanship, education, and work ethic all being major factors in this award.

The award is open to a youth involved in any Centre Wellington community group, (including secondary schools serving the youth of Centre Wellington), sport group, and/or organization that wish to recognize the outstanding achievements of a local youth by nominating him or her.  The group’s contact person should be clearly highlighted on the nomination form, which will outline the applicant’s achievements and Centre Wellington commitments.

Nominee Information

Name of Nominee (Business if applicable):
Contact Name:
Phone Number:
Fax Number:
Number of Employees:
Year Business Established:
Is the nominee aware of this nomination? No Yes

Nomination Submitted By:

Telephone Number:
Fax Number:
Submission of this form implies an acknowledgement that the information on this form is, to the best of my knowledge, complete and accurate.


Nomination Information

Outline how this youth has demonstrated leadership
Outline how this youth has demonstrated sportsmanship
Outline how this youth has demonstrated education
Outline how this youth has demonstrated work ethic
 canadian= Ontario Chamber of Commerce     Accessibility Works 2014

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