Nomination Form - Application Information

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

In addition to this nomination form, if you are submitting a letter of support, please submit it by email to vwsdv@justice.gc.ca. Nominations will only be considered complete once all required documentation is submitted.

For which award would you like to submit a nomination? (required)

Nominee

Full Name (required)

Pronouns

Position/Title (required)

Organization or Canadian University, College, or CEGEP (required)

Address (required)

City (required)

Province/Territory (required)

Postal Code (required)

Phone (999-999-9999)

Email Address (required)

Language Preference (required)

English

French

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

Yes

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

If you are submitting a nomination for the Student Volunteer Award, please check here to confirm that the nominee is a student.

Nominator

Full Name (required)

Pronouns

Position/Title (required)

Organization or Canadian University, College, or CEGEP (required)

Address (required)

City (required)

Province/Territory (required)

Postal Code (required)

Phone (999-999-9999)

Email Address (required)

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.

Background - Please provide any relevant personal, cultural, community and/or family information about the nominee. (required)

Education & certifications - Please provide information about the nominee's education and relevant certifications. Information should be presented in bullet form and include dates. (required)

Work experience – Please provide information about the nominee’s relevant work history. Information should be presented in bullet form, including short descriptions and dates. (required)

Volunteer experience - Please provide information about the nominee’s relevant volunteer work. Information should be presented in bullet form, including short descriptions and dates. (required)

Major achievements and recognitions – Please provide information about the nominee’s relevant major achievements, formal awards, and recognitions. Information should be presented in bullet form and include short descriptions and dates. (required) (This field has a character limit of 2000)

Nomination Overview

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

Empowered victims and survivors of crime;
Inspired other service providers and promoted best practices with regards to supporting victims and survivors of crime; and
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:

Empowered victims and survivors of crime (required)

Inspired other service providers and promoted best practices with regards to supporting victims and survivors of crime (required)

Achieved meaningful change that has improved the experiences of Canadians who have been touched by crime (required)

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

Empowered victims and survivors of crime
Inspired other service providers and promoted best practices with regards to supporting victims and survivors of crime
Achieved meaningful change that has improved the experiences of those who have been touched by crime in Canada

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:

Empowered victims and survivors of crime (required)

Inspired other service providers and promoted best practices with regards to supporting victims and survivors of crime (required)

Achieved meaningful change that has improved the experiences of Canadians who have been touched by crime (required)

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

Empowered victims and survivors of crime
Inspired other service providers and promoted best practices with regards to supporting victims and survivors of crime
Achieved meaningful change that has improved the experiences of those who have been touched by crime in Canada

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:

Empowered victims and survivors of crime (required)

Inspired other service providers and promoted best practices with regards to supporting victims and survivors of crime (required)

Achieved meaningful change that has improved the experiences of Canadians who have been touched by crime (required)

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

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
Inspired other police services professionals and promoted best practices with regards to addressing the needs of victims
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:

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 (required)

Inspired other police services professionals and promoted best practices with regards to addressing the needs of victims (required)

Ensured that victims of crime were informed about their rights and the services, assistance, and laws in place to help them and their families (required)

The award is open to all Canadians and is presented annually to a legal practitioner who has:

Demonstrated an outstanding capacity to support victims of crime in a culturally sensitive and trauma-informed manner, treating victims with the utmost courtesy, compassion, and respect
Inspired other legal practitioners and promoted best practices with regards to supporting victims of crime
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:

Demonstrated an outstanding capacity to support victims of crime in a culturally-sensitive and trauma-informed manner, treating victims with the utmost courtesy, compassion, and respect (required)

Inspired other legal practitioners and promoted best practices with regards to supporting victims of crime (required)

Ensured that victims of crime were informed about their rights and the services, assistance, and laws in place to help them and their families. (required)

Please provide any additional information that helps exemplify how the nominee meets the award criteria. (required)

You may also submit a letter of support by email to vwsdv@justice.gc.ca. This letter should provide additional information and add value to the nomination and/or provide concrete examples that support the nomination.

Date modified:: 2026-09-25

Language selection

Search

Nomination Form - Application Information