2021 Awards Nomination Form

Instructions to Nominate

Ensure your nomination meets the following criteria:

smt1 check icon Live, attend school, work or serve in York Region
smt1 check icon Have an impact on their community and/or show leadership with respect to positive development
smt1 check icon Consistently demonstrate several of the following attributes: Compassion, Courage, Fairness, Honesty, Inclusiveness, Integrity, Initiative, Optimism, Perseverance, Respect, Responsibility, Humility
smt1 check icon You must notify your nominee of this submission
smt1 check icon Past Award recipients are not eligible for resubmission for a 2 year period after being a recipient
smt1 check icon The Selection Committee reserves the right to forgo presenting an award in any category or to move a nomination to a more suitable category
smt1 check icon All Finalist Nominees will receive a recognition certificate
smt1 check icon All Award Winners will receive a trophy
smt1 check icon Winners will be notified by phone in early April and announced on our Website April 21st
smt1 check icon All Awards will be presented in person during the month of May

Submit Nomination Form by: Monday, March 8, 2021

Demonstrate how the nominee displays the following attributes in your submission:


I will do whatever is necessary to heal the hurts of others. I will strive to understand and be sensitive to their feelings.


I will stand up for my beliefs and principles and face challenges, fear and difficulty with fortitude.


I will treat others in a just, equitable and unbiased manner.


I will be sincere, trustworthy and truthful.


I will work to build a community where everyone feels included, empowered and valued for his or her unique contributions.


I will do what is right and ensure there is no difference between what I say and what I do.


I will recognize what needs to be done and do it, without prompting from others.


I will maintain a positive attitude, look on the brighter side of situations and seek opportunities in the face of adversity.


I will not give up when things get tough. I will stick to my goals and work hard to achieve them, despite obstacles and challenges.


I will treat myself and others with consideration, high regard and dignity.


I will be accountable for my actions, be reliable and keep my commitments.


I am outwardly focused, with a true interest in others. I am mindful and my values guide my actions.