Volunteer Recognition Award Nomination Form

Please check one (1) Award only per Nomination. You are welcome to submit a separate nomination for another individual and/or award.  Please review the Volunteer Recognition Awards Criteria for full details on each award.

Brockton Civic Award

Recognizes an individual who have made an outstanding voluntary contribution to the well-being of our community. This award recognizes local champions who build communities and show us all what can be achieved with passion, determination, and resilience.

Criteria:

Nominees for this award can be any youth, adult or senior in the Municipality of Brockton who willingly volunteers their time to benefit others, a community cause or local annual event.

Eligibility:

• Nominees must be or have been a resident of Brockton for at least five (5) years.
• Nominations must include details on the organization(s) the individual is a member of and duration of service for each.
• Nominations must outline the contribution(s) to the organization and to one of the communities within and/or to the Municipality of Brockton as a whole.

Brockton Good Neighbour

For an individual who has displayed activities that embody a strong sense of values, promoting the positive impact of good neighbourly deeds and contribute to the vitality and fabric of the community.

Criteria:

Nominees for this award should be someone who has taken the initiative to do spontaneous or unheralded deeds, rather than participation in group activities such as those with community groups or associations that result in Brockton being a more enjoyable community to live in. Activities must embody a strong sense of values, promote the positive impact of good neighbourly deeds and have contributed to the vitality and fabric of our community.

Eligibility:

• Nominees must be a resident of Brockton.
• A merchant or service provider who has gone above and beyond the norm in looking after the people they serve in the community.
• An individual who goes out of their way, possibly on a continuous basis, to assist seniors, particularly those who are vulnerable financially or for health reasons.
• An individual who has a good natured, outgoing personality who makes the lives of those they encounter daily, a little more enjoyable.
• An individual who rallies the community for a cause important to the community or member of the community.

Nominator Information

Please enter the following information about the Nominator submitting the Nomination Form.

Note: Please note that the awards do not recognize individuals for personal successes or professional achievements. Nominations by or for Municipal Councillors and Staff members, by immediate family members, self-nominations, and posthumous nominations will not be accepted.

Nominee Information

Please enter the following information about the Nominee being nominated for the award.

Note: The Nomination Form will be submitted to the Municipality of Brockton's Volunteer Recognition Award Committee for review. The Nominee's name may be included in the Municipality of Brockton's Volunteer Recognition Event Awards Ceremony.