Nomination Form - Application Information

Please ensure you have read the nomination criteria and are able to provide the required documentation before completing this form.

Nominee
Language Preference (required)
Has this nominee been advised of and agreed to the nomination and sharing of their information? (required)

(Note: the personal information provided will be treated in accordance with the Privacy Act)

Nominator
Nominee Biography

NOTE: Before submitting the information, please ensure that the total number of characters for the nominee biography section document does not exceed 5000.





Nomination Overview

The award is open to all Canadians and is presented annually to an individual who has:

  1. Empowered victims and survivors of crime;
  2. Inspired other service providers and promoted best practices with regards to supporting victims and survivors of crime; and,
  3. Achieved meaningful change that has improved the experiences of Canadians who have been touched by crime.

NOTE: Before submitting the information, please ensure that the total number of characters for the nomination overview section of the document does not exceed 5000.

Through the use of examples, clearly outline how the nominee has:




The award is open to all Canadians and will be presented annually to a volunteer who has:

  1. Empowered victims and survivors of crime;
  2. Inspired other service providers and promoted best practices with regards to supporting victims and survivors of crime; and,
  3. Achieved meaningful change that has improved the experiences of Canadians who have been touched by crime.

NOTE: Before submitting the information, please ensure that the total number of characters for the nomination overview section of the document does not exceed 5000.

Through the use of examples, clearly outline how the nominee has:




The award is open to all Canadians and will be presented annually to a police services professional who has:

  1. Demonstrated an outstanding capacity to respond to the needs of victims of crime in a culturally-sensitive and trauma-informed manner, treating victims with the utmost courtesy, compassion, and respect;
  2. Inspired other police services professionals and promoted best practices with regards to addressing the needs of victims; and,
  3. Ensured that victims of crime were informed about their rights and the services, assistance, and laws in place to help them and their families.

NOTE: Before submitting the information, please ensure that the total number of characters for the nomination overview section document does not exceed 5000.

Through the use of examples, clearly outline how the nominee has:





NB: In order to complete the nomination, you must also submit two (2) support letters and a photo of the nominee by email to vwsdv@justice.gc.ca. These letters should provide additional information and add value to the nomination form and/or provide special knowledge or unique concrete examples that support the nomination.

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