Order of Vaughan 2018 Nomination Form

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Order of Vaughan 2018 Nomination Form Submission Deadline: Friday June 15, 2018 Purpose The Order of Vaughan is the highest honour awarded by the of Vaughan to recognize the achievements of its most accomplished residents, as nominated by their peers. Eligibility Candidates for nominees must be: Residents or former long-term residents of the of Vaughan. Living persons at the time of nomination. Nominations will not be accepted for staff currently employed by the of Vaughan or for current elected public office holders at the federal, provincial or municipal level. Selfnominations will not be accepted. Selection Process Nominations are considered by the Order of Vaughan Selection Committee, and are recommended to Council for appointment to the Order. Award Presentation The Order of Vaughan is awarded at an investiture ceremony conducted annually. Appointees receive an Order of Vaughan pin and certificate presented by the Mayor. Nomination Requirements Completed and signed nomination form, which includes: o o o Submission Nominee information and field of achievement Description of nominee s achievements (maximum 3 pages) Contact information for 3 references other than the nominator who have direct knowledge of the nominee s achievements Additional supporting materials (supplemental references, publications, media stories) are optional Nominations must be submitted by Friday, June 15, 2018. E-mail: orderofvaughan@vaughan.ca Fax: 905-832-8535 Mail: of Vaughan Order of Vaughan Selection Committee c/o Office of the Clerk 2141 Major Mackenzie Drive, Vaughan, ON L6A 1T1 1

Nomination Checklist For a nominee to be considered for the Order of Vaughan, the nominator must ensure that the nomination form is complete. Please use the checklist below to verify that the enclosed nomination form is complete. Nomination form checklist Nominee information Nominee s field of achievement Description of nominee s achievements Reference information (3 references must be provided) Additional supporting material (optional) Nominator information (the nominator cannot also be a reference) Nominator declaration and signature Nomination Guide Nominee guidelines Nominees for the Order of Vaughan are considered on the basis of having made a significant and enduring contribution to the of Vaughan as residents or former long-term residents. To provide an indication of the calibre of nominees please consult the list of previous Order of Vaughan appointees here: https://www.vaughan.ca/news/pages/inaugural-order-of-vaughan- Ceremony-honours-those-who-have-made-our-community-great.aspx Nominator requirements The nominator should be someone who knows the nominee well and can provide a detailed description of the nominee and their achievements. The nominator is not required to be a current or former resident of the of Vaughan. References requirements The nominator is required to provide contact information for a minimum of three (3) references, which cannot include the nominator. References should be able to comment on the achievements of the nominee. References are not required to be current or former residents of the of Vaughan. Optional supporting materials At the nominator s discretion, additional materials may be provided to support a candidate s nomination if they give more insight into the nominee s achievements. The inclusion of additional materials must be indicated on the nomination form and must be submitted with the nomination form by the nomination deadline. Examples of acceptable supporting materials include supplemental references, publications by the nominee, or media coverage of the nominee. 2

Nominee Information Nominee s Field of Achievement Select one field that most applies to the nominee s achievements. Arts & Entertainment Media & Athletics Health & Wellness Communications Business Philanthropy Public Service Education Science & Technology Not-For-Profit Equity & Diversity Accessibility Environment Spiritual 3

Description of Nominee s Achievements (Page 1 of 3) Please provide a detailed summary of your nominee s achievements or contributions in the space provided. Maximum length: 3 pages. 4

Description of Nominee s Achievements (Page 2 of 3) 5

Description of Nominee s Achievements (Page 3 of 3) 6

Reference 1 Reference 2 7

Reference 3 Optional Supporting Materials Please provide a brief description here and ensure any supporting materials are attached to the nomination form if submitting in hard copy, or to the email message if submitting electronically. 1. Supporting Material 2. Supporting Material 3. Supporting Material 4. Supporting Material 5. Supporting Material 8

Nominator Information Please note that the nominator cannot also be a reference. Declaration I hereby declare that all information provided in this form is accurate and true to the best of my knowledge. I understand that any false information provided in this application may result in the invalidation of the nomination for consideration by the Selection Committee. I acknowledge that it is my responsibility to ensure this form is complete and that any incomplete nominations forms will not be considered. Nominator Signature Date Personal information contained on this form is collected for the purposes of administering the Order of Vaughan under the authority of the Municipal Act, 2001 (S.O. 2001,c.25) and is subject to the provisions of the Municipal Freedom of Information and Protection of Privacy Act (R.S.O. 1990, c.m.56). Questions about this collection should be directed to the Office of the Clerk, 2141 Major Mackenzie Drive, Vaughan, ON, L6A 1T1, (905) 832-2281. 9