2026 Culture Awards Nomination Form

2026 Culture Awards Nomination Form (PDF)

Legal Name of Organization (Recipient)

Home Phone

Mobile Phone

Mailing Address

City

Province

Postal Code

Award Category (please select only one). Scroll to bottom of form for full details on each award category.

Contact Person (Nominator - must be main contact during review period)

Home Phone

Mobile Phone

Preferred method of contact

Phone

Mailing Address

City

Province

Postal Code

Will the person or organization (recipient)

be available to attend the ceremony on Tuesday, April 14th, 2026?

be available upon request for photo and video shoot(s)?

Will you (nominator)

be available to communicate with event organizers and assist in gathering nominee information?

Persons supporting this nomination (please provide a minimum of two).

Please attach all pertinent information/documentation that would support this nomination and assist the review panel in making its decision (a description of their background of up to 300 words, letter of support, etc.). For additional information, please contact us directly.

1. Supporting person name and phone number

2. Supporting person name and phone number

3. Supporting person name and phone number

4. Supporting person name and phone number

5. Supporting person name and phone number

Supporting documentation

FILE UPLOAD

Please upload examples of your nominee's qualifications, achievements, letters of support, etc.

IMPORTANT INFORMATION ABOUT PRIVACY AND YOUR PRESENTATION

Information collected on this form is done so under the general authority of the Community Charter and Freedom of Information and Privacy Protection Act (FOIPPA), and is protected in accordance with FOIPPA. Personal information will only be used by authorized staff to fulfill the purpose for which it was originally collected, or for a use consistent with that purpose.
Regular Council and Committee meetings that are open to the public are webcast using live-streaming video technology and may be recorded for video-on-demand access for subsequent viewing. By speaking at these meetings, you are consenting to disclosure of any personal information made evident through your speech or presentation materials, and acknowledging that this information may be disclosed and/or accessed outside of Canada. Personal information may include your image, name, address, and personal opinions. You are also asserting that your presentation is in compliance with the Federal Copyright Act, and grant the City of Nanaimo license to publish these materials. Individuals presenting to Council or Committees are requested to not disclose third-party information or it may be redacted.

For further information regarding the collection, use, or disclosure of personal information, please contact the Legislative Services Office at 250-755-4405 or at foi@nanaimo.ca.

Name and Position

I hereby acknowledge that the information included with my application is complete, is true and correct to the best of my knowledge. Where required, I have been authorized by the Board of Directors to make this declaration and to submit this acknowledgement on behalf of the above-named organization.

Last updated: June 5, 2025

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IMPORTANT INFORMATION ABOUT PRIVACY AND YOUR PRESENTATION

Information collected on this form is done so under the general authority of the Community Charter and Freedom of Information and Privacy Protection Act (FOIPPA), and is protected in accordance with FOIPPA. Personal information will only be used by authorized staff to fulfill the purpose for which it was originally collected, or for a use consistent with that purpose.
Regular Council and Committee meetings that are open to the public are webcast using live-streaming video technology and may be recorded for video-on-demand access for subsequent viewing. By speaking at these meetings, you are consenting to disclosure of any personal information made evident through your speech or presentation materials, and acknowledging that this information may be disclosed and/or accessed outside of Canada. Personal information may include your image, name, address, and personal opinions. You are also asserting that your presentation is in compliance with the Federal Copyright Act, and grant the City of Nanaimo license to publish these materials. Individuals presenting to Council or Committees are requested to not disclose third-party information or it may be redacted.

For further information regarding the collection, use, or disclosure of personal information, please contact the Legislative Services Office at 250-755-4405 or at foi@nanaimo.ca.

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