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Nomination Form
Recognition is the goal. Your nominations are the assists.
Thank you for nominating a candidate for the RBC Local Hockey Leaders program.
Please complete this online nomination form to make your local hero eligible for one of
13 regional awards.
The judges will select the final winners using the following criteria as guidelines:
·
Proven dedication to community through hockey
·
Positive impact on hockey and hockey players in their community
·
Dependability, enthusiasm and leadership
·
Acting as a role model to others
·
High level of commitment
To begin, please indicate if your nominee is an RBC
®
employee*:
Yes
No
*Indicates a mandatory field
Please provide your contact information:
Your First Name* :
Last Name* :
Street Address* :
City* :
Province* :
-Select-
AB
BC
MB
NB
NL
NS
ON
PE
QC
SK
NT
NU
YT
Postal Code* :
Telephone Number* :
Email Address* :
Gender* :
Male
Female
I would like to nominate the following person as a candidate for the RBC Local Hockey Leaders program:
Their First Name* :
Last Name* :
City* :
Province* :
-Select-
AB
BC
MB
NB
NL
NS
ON
PE
QC
SK
NT
NU
YT
Telephone Number* :
Gender* :
Male
Female
We would like to send each nominee from the RBC Local Hockey Leaders program a letter of congratulations and a Local Hockey Leaders memento on your behalf. The letter will be customized to inform them of your nomination.
If you would like us to send a letter to your nominee, please provide the contact information of your nominee below.
Street Address :
Postal Code :
Email Address :
Please tell us in fifty (50) words or more what makes the person you are nominating a candidate for the RBC Local Hockey Leaders program. Use a few specific examples of how they demonstrate dependability, dedication, approachability, and helpfulness.*
As an alternative you may upload a document:
You can upload a .doc or .pdf
Please use the field below to give us a specific example of the positive and lasting impact that your nominee's volunteerism has had on an individual, group, or the community.*
As an alternative you may upload a document:
You can upload a .doc or .pdf
Please take the time to answer a few questions that will help us learn from and improve the RBC Local Hockey Leaders program.
How did you first hear about the RBC Local Hockey Leaders program?
-Select-
Television
Newspaper
Magazine
Radio
Online
Arena Posting
Minor Hockey Website
Hockey Canada
Hockey Hall of Fame
Word of Mouth
Other
Where else have you heard about the RBC Local Hockey Leaders program? (check all that apply)
Television
Newspaper
Magazine
Radio
Online
Arena Posting
Minor Hockey Website
Hockey Canada
Hockey Hall of Fame
Word of Mouth
Other
What is your relationship to hockey?
-Select-
Coach
Volunteer
Executive
On-ice Official
Parent/Guardian
Player
Other
Are you an RBC
®
Client?
Yes
No
Are you an RBC Insurance
®
Client?
Yes
No
I would like to receive updates from RBC Local Hockey Leaders via email.
Yes
No
I have read the Program Rules and Regulations and agree to comply with their terms.