Honours & Awards Nomination Form

Each nomination must be accompanied by a nomination form and supporting
material. Support material should include service, achievements or contributions to
Ontario’s heritage by the individual or organization.

Nominees may be individuals, non-profit organizations, businesses or corporations. See award criteria. For organizational nominees, indicate the most appropriate contact person. Books are eligible for only one book award category; nominators must specify the category they wish to enter below.


Name of Award
Nominee's Name
Nominated Organization (if applicable)
Contact Person (if applicable)
Nominee Address
City
Postal Code
Telephone Number
-
Nominee Email
Nominator
Nominator Position
Nominator Organization
Nominator Address
Nominator City
Nominator Postal Code
Nominator Telephone Number
Nominator Email:

Attachments 

Please upload and attach any supporting documents necessary for your application (ie: biography/profile of nominee, corporate or organization history, affiliations, nominator's testimony, letters of support, press clippings or book reviews, etc.)

Attachment Upload Tool

Payment

Three copies of each book must be submitted with the nomination - a $10 fee applies to each title nominated. Payment may be submitted by credit card using the payment tool below, or by cheque to the following address: Honours & Awards, The Ontario Historical Society, 34 Parkview Avenue, Willowdale Ontario M2N 3Y2.

Please note: the fee applies ONLY to those nominators submitted books for nomination.

Amount:
 C$ 
 . 
Payment Type:*
Credit Card #:
Name on Card:
Card Type:
Credit Card SSN: (3-digits)

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