THE COMMUNITY SERVICE AWARDS NOMINATIONS ARE OPEN AUGUST 23 - OCTOBER 18, 2021

Nominator
Nominee
* In order to be eligible for this award, the nominee must be a resident of Pitt Meadows and in the case of a business, must be operating out of a Pitt Meadows location in accordance with the Terms of Reference.
* Nominations by immediate family members and self nominations will not be accepted in accordance with the Terms of Reference.
Selection Criteria
Please include supporting information such as, significant contributions and achievements over the past year that set them apart, ongoing contributions and positive impacts on the community, length of service, demonstration of civic mindedness, and diversity of service and exemplary leadership.

NOTICE: By submitting this nomination form, you are confirming that the person you are nominating has authorized you to provide their information as disclosed on this form.

Personal information collected on this form will be managed in accordance with the Freedom of Information and Protection of Privacy Act. Any questions, or concerns regarding the collection, use, disclosure, or safeguarding of personal information associated with this form can be directed to: FOI Head, City of Pitt Meadows, 12007 Harris Road, Pitt Meadows, BC, V3Y 2B5, or kbarchard@pittmeadows.ca

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