Board of Governors’ Awards of Distinction – Community Partner AwardPlease complete this form and email it to boardofgovernors@georgiancollege.ca. The deadline each year is the second Friday in February. Inquiries regarding the awards may be directed to the Office of the Board of Governors at 705.728.1968, ext. 1252.

Purpose: To recognize noteworthy partners (individual or group) in community or industry who have made a significant contribution to Georgian in support of its strategic priorities and in a way that reflects the college’s values.

Eligibility: Presented to individuals or groups – such as, but not limited to, donors, community leaders, employers, applied research partners or program partners – that have significantly supported Georgian’s strategic priorities through a spirit of partnership, co-operation and goodwill.

Submission guidelines: Please include key information that will enable the Recognition Committee to distinguish your nomination from others. Do not alter this form in any way.

This nomination package must be supported by three individuals: 1) The lead nominator 2) An individual from within and/or outside the same academic area/department 3) An individual from another academic area/department

Nomination form

Name of community partner:

Main contact for the partner: include name (if not listed above), role and department, email and phone number

Name and area/department of lead nominator:

Names and areas/departments of 2 co-nominators:

Quote or testimonial on why you’re nominating the partner: 3 to 4 lines

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Please provide a brief description (max. 150 words) of the nominee’s contributions in each of the following areas. If you exceed word count, your nomination may be disqualified. Bullet points are acceptable.

The Recognition Committee will evaluate each section out of 5 – fully met (5), partially met (3) or unmet (1). They will use these scores to help rank submissions in this award category.

Made significant contributions to Georgian in support of the college’s strategic priorities

/5

Embodies the spirit of partnership, co-operation and goodwill

/5

2

Demonstrated commitment to the values of the college

/5

Demonstrated commitment to learning

/5

TOTAL /20

Additional background information to support the nomination, if relevant

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FREEDOM OF INFORMATION AND PROTECTION OF PRIVACY ACT

NOTIFICATION REGARDING THE COLLECTION OF PERSONAL INFORMATIONThe personal information in this form is being collected under the authority of the Ontario Colleges of Applied Arts and Technology Act, 2002, and is compliant with the Freedom of Information and Protection of Privacy Act, 1990. The personal information is being collected for the purpose of administering and advertising this award. Information that you are providing about yourself, co-nominators and the nominee may be disclosed to the nominee, regardless of whether or not the nominee is selected for the award competition process.

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