Please fill in the following form in detail and send it to us with all supporting material. You must provide two copies of all nomination material (attach a copy of this form to each package). Please keep a copy for your records, as this material cannot be returned.

FIRST NAME

LAST NAME

TITLE

COMPANY

PHONE

FAX

MAILING ADDRESS

CITY

POSTAL CODE

EMAIL

Award Categories - Please select one:

ARTS	ECONOMIC DEVELOPMENT
EDUCATION	ENVIRONMENT
HEALTH CARE	SPORTS & RECREATION
JUNIOR CITIZEN	HALL OF FAME

Is this a self-nomination?		If no, please indicate whether the nominee is aware of the nomination.
YES	NO	YES	NO

FIRST NAME

LAST NAME

TITLE

COMPANY

PHONE

FAX

MAILING ADDRESS

CITY

POSTAL CODE

EMAIL

Please provide detailed answers to the following two questions:

1. How will this individual or group be remembered by future generations for their contributions?

2. What qualifies this individual or group as a visionary, having impact on the community of Greater Sudbury?

3. Please attach a 300-500 word summary of the nominee's achievements in the category thay have been nominated for. Make sure it highlights of specific initiatives and achievements that support their impact on the Greater Sudbury community.

Accepted file formats:
- Microsoft Word (.doc)
- Text Document (.txt)

4. Please attach two letters of recommendation in support of the nomination.

Accepted file formats:
- Microsoft Word (.doc)
- Text Document (.txt)

Please send in your nomination no later than
December 8th, 2006.

Tiana Di Pasquo, Event Coordinator
158 Elgin St. Sudbury, ON P3E 3N5
email: tiana@nob.on.ca
Phone: (705) 673-5705 Ext. 351
Fax: (705) 671-0878
A complete copy of the nomination form must be filled in for each nomination made. All information provided in this nomination will remain confidential without the expressed consent of the nominee. Need help? We can assist you with completing the nomination form. Call us today.