SIDE A
YORK REGION 2007 CHARACTER AWARDS

1. About the Nominee:

Nominee's name:
Nominee's mailing address:
Nominee's phone number:
Nominee's school or organization:
Nominee's age as of 01/01/07:

2. If Nominee is under 18, please complete the following:

Nominee's parents names:
Parent's address(es) if different from that above:

3. Is the Nominee aware of this nomination?

Yes No

4. About the Nominator:

Nominator's name:
Nominator's mailing address:
Nominator's phone #:
Nominator's email:
Nominator's school or organization:
Nominator's relationship to the nominee:

5. Please check the York Region Character Award for which the Nominee is being nominated.

Business/Organization of Character
Character School
Character Advocate
Educator of Character
Citizen of Character
Wendel Clark Pursuing Victory with Honour
Community of Character
Pursuing Culture with Character
Character Hero

Tell us about the Nominee

6. Please answer all of the following questions.

Which attributes has the nominee exhibited?
Describe how the nominee demonstrated the attribute in their actions, beliefs, values and attitude.
Describe in detail how the nominee made a difference in the lives of those around them And/or their community.
Describe how through leading or by acting as a role model, this nominee has promoted or Inspired positive character change in others.

7. Any additional, relevant information you would like to share?

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