Nomination Form - Peel Volunteer of the Year Award 2026

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- Step 1 of 5

INFORMATION ABOUT THE NOMINATED VOLUNTEER

Volunteer's Full Name *

Volunteer's Postal Address *

Address Line 1

City

State / Province / Region

Postal Code

Volunteer's Email Address *

Volunteer's Contact Number *

Year of Birth *

To proceed with the nomination, all required questions must be answered completely and accurately. Incomplete responses may result in delays or disqualification of the nomination.

Please click all that apply *

Volunteering efforts support the Peel Region Communities
Permission has been sought to make this nomination from the nominated individual
Supports a Peel Region based organisation/group

Summary of Achievement

Please provide a concise summary of the Volunteer work of the nominee including their roles, responsibilities and duration of service. Highlighting any leadership initiative they have undertaken.

Example: What volunteer roles have they held? How long have they volunteered in the Peel Community? What makes their contribution unique?

Please keep to a minimum of 100 words and a maximum of 500 words.

Summary of Achievement: *

Name of organisation/group: *

Volunteer role: *

Average hours per week: *

Number of weeks per year: *

Commencement year *

Conclusion year (if applicable)

Level of impact statement *

Please tick an appropriate number between 1 and 5 with 1 indicating a positive impact on the wider community and 5 indicating a life-changing impact on the wider community.

Summary Statement of Volunteer Contributions and Community Impact

Please provide a concise summary highlighting the volunteer’s contributions and their positive impact on the Peel community. The statement should include:

Measurable Outcomes: Quantifiable results achieved through their efforts (e.g., number of individuals supported, hours contributed, programs delivered).
Positive Change: How their work has improved community well-being, strengthened services or addressed local needs.
Testimonials (if available): Feedback from community members, beneficiaries or partners that reflects the value and influence of the volunteer’s work.

NOTE: The Impact statement is not the same as the summary of achievement.

Please don’t copy and paste it here.

Please keep to a minimum of 100 words and a maximum of 500 words.

Summary Statement of Volunteer Contributions and Community Impact *

Information about the nominator

Your organisation's name *

Your full name *

First

Last

Phone *

Your email address: *

Address

Address Line 1

City

State / Province / Region

Postal Code

Relationship to the nominated volunteer: *

Please write your full name here (this acts as your electronic signature)

Name *

First

Last

Date *