Honored citizen - form

Do you know a person or an organization that has contributed to the betterment of the community or to the reputation of the Town of Rosemère? Nominate that person or organization for an Honoured Citizen Recognition Award!

Contact information of the nominee

Profile of the nominee

Briefly describe the profile (history) of the person or organization whose nomination you are submitting (summary of his/her/its commitment, actions, accomplishments, remarkable achievements, etc.). (maximum 5000 characters)

What are the reasons why you consider this person or organization to be outstanding and whose nomination deserves to be considered for his/her/its accomplishments? Specify that person's or organization's positive impact on the community in terms of leadership, dynamic spirit, degree and duration of commitment, support, dedication, etc. (maximum 5000 characters)

Don't forget to enclose with this form any pieces of information that may help the jury in its deliberations and selection of the award winners.

Click here for add a file

The nomination must be supported by the recommendation of 3 residents.

No.	Name	Full address	Telephone no.
1
2
3

^* By checking the box, I nominate the above-mentioned person or organization, recommend his/her/its nomination for the Honoured Citizen Award, presented by the Town of Rosemère, and declare that the facts presented in this form are accurate and true.

The attached forms and documents may be submitted online or sent by mail to the following address:

Service des loisirs
325, chemin de la Grande-Côte
Ville de Rosemère (Québec)
J7A 1K2

Selection

A Selection Committee will review each of the nominations received. To be eligible, a nomination must be received by the Town no later than February 10, 2023.

Honored citizen - form

Do you know a person or an organization that has contributed to the betterment of the community or to the reputation of the Town of Rosemère? Nominate that person or organization for an Honoured Citizen Recognition Award!

Selection

Any questions?

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