Nomination Form

Contact Information Please ensure that all information, especially phone and email, is accurate and up to date. Note that CAYFO may contact the nominator and/or nominee for further information or clarification if needed.
NOMINATOR Information
Your name:
Your email:
Your phone number †:
Relation to nominee:
I have known the nominee for X (number) years:
† Note: You may be contacted to verify the details of your nomination.
Is there a secondary nominator?:	Yes No
Their name:
Their email:
Their phone number:
Their relation to the nominee:
They have known the nominee for X (number) years:
NOMINEE Information
Nominee's name:
Nominee's gender:
Nominee's age ††:
Nominee's email:
Nominee's address:
Nominee's city:
Nominee's postal code:
Nominee's phone number †††:
Nominee's school:
Nominee's grade level:
†† Note: Nominees must be 21 or under as of January 1st, 2011 to be eligible.
††† Note: Nominee may be contacted to verify the details of their nomination.
Nomination Details You can choose a maximum of 2 categories for this nomination.
Nomination category:	Academic Perseverance Arts & Culture Personal Courage Service & Caring Young Activist Young Athlete Young Entrepreneurship Youth & Technology

Application
Awards and Accomplishments Please list the most relevant awards and accomplishments that the nominee has received in the last 5 years, to a maximum of 6.
Award/ Accomplishment	Year	Brief Description (max 50 words)






Community Involvement Please list the most relevant community and school involvement the nominee has had within the last 5 years, to a maximum of 6. This may include but is not limited to: Community volunteer roles; Student committees, clubs, and groups; Sports teams and extracurricular activities; Relevant employment experience.
Involvement (Title/Role)	Year	Brief Description of Involvement (max 50 words)






In fewer than 500 words, why does this nominee deserve to win a Spirit Award? It is suggested that you save your response elsewhere. Please address some or all of the following in your response: Provide details of the nominees’ contributions and achievements In what ways has the nominee impacted their community? What qualities/characteristics does the nominee possess that qualify him/her for this award?

Please ask the nominee to answer ONE of the following questions (maximum 300 words) Tell us about your most meaningful experience serving others. Tell us about the proudest moment of your life so far. Tell us about an obstacle that you have overcome. How has this shaped your outlook and accomplishments?

Additional Information
Additional information may include, but is not limited to, the following: Letters of reference (maximum of 2) Newspaper articles Samples of relevant work or projects Nominee’s resume Transcripts demonstrating academic excellence Please ensure that all additional information is current and relevant.
YES, I will be uploading additional information
Use the fields below to attach the desired files to your nomination. Please upload text files in PDF format whenever possible. You can upload up to 10 files. Each file must be smaller than 20MB. If more than 2 of the files are large, the submission may time out. If you are unable to upload your files, please email us at spirit@cayfo.ca.

YES, I have refered to the 2011 Nomination Package and am familiar with Spirit Award categories, eligibility, criteria and other important information.
I agree that, to my knowledge, all information provided is accurate and up to date
I understand that information may be verified by contacting the nominator or nominee.
I have informed the nominee that their name and photograph may be used for publicity.

Nomination Form

Contact Information

NOMINATOR Information

NOMINEE Information

Nomination Details

Application

Awards and Accomplishments

Community Involvement

In fewer than 500 words, why does this nominee deserve towin a Spirit Award?

Please ask the nominee to answer ONE of the followingquestions (maximum 300 words)

Additional Information

In fewer than 500 words, why does this nominee deserve to
win a Spirit Award?

Please ask the nominee to answer ONE of the following
questions (maximum 300 words)