2026 Ajax Community Awards Nominations Form

Nominator #1 Name(Required)

First Last

Relationship to Nominee(Required)

Address(Required)

Street Address Address Line 2 City Province Postal Code Country

Phone Number(Required)

Email Address(Required)

Nominator #2 Name(Required)

First Last

Relationship to Nominee(Required)

Address(Required)

Street Address Address Line 2 City Province Postal Code Country

Phone Number(Required)

Email Address(Required)

Nominee(Required)

First Last

Group/Business Name (if applicable)

Address(Required)

Street Address Address Line 2 City Province Postal Code Country

Phone Number(Required)

Email Address(Required)

Nomination Category(Required)

Please describe the nominee.(Required)

In 800 words or less, please describe the nominee’s volunteer contributions, over the past year or more, in the selected award category, highlighting any of the following: Outstanding or innovative accomplishments they have achieved through their volunteer work; Impact on the well-being of other individuals and/or how they have enriched the quality of life of the community; Breaking down barriers and enhancing opportunities for community engagement and inclusion; Demonstrating a commitment to advocacy and leadership