Nominate an Outstanding Volunteer

Help us find Burnaby’s Outstanding Citizen of the Year or Local Heroes by completing the nomination form below.

Deadline: February 16, 2025

Who are you nominating?

First name

Last name

Postal code

Which award are you nominating this individual for?

Check both if you wish the nominee to be considered for the Kushiro Cup or Local Hero. You only need to complete the Kushiro Cup application to also be considered for a Local Hero award and only unsuccessful Kushiro Cup applications will be forwarded.

Outstanding citizen of the year - Kushiro Cup

Nominee must be a Burnaby citizen with a minimum of 10 years volunteer experience in the City of Burnaby.

Local Hero

Nominee must have a minimum of 5 years volunteer experience in the City of Burnaby.

Please tell us why you have nominated this individual.

Please include any additional information on the nominee you feel may assist in the selection process.

Does the nominee work in Burnaby?

Yes

Does the nominee volunteer in Burnaby?

Yes

Is this person an elected official holding office?

Yes

Nominee's resume

One file only.
256 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

Nominee's picture

One file only.
256 MB limit.
Allowed types: gif, jpg, jpeg, png.

Please list 2-3 volunteer activities you're nominating the individual for.

Activity 1:

Name of organization

Nominee's volunteer activities

Duration of involvement (include month and year)

Organization's contact name

Organization's website

Document or other supporting material

One file only.
256 MB limit.
Allowed types: pdf, doc, docx.

Activity 2:

Name of organization

Nominee's volunteer activities

Duration of involvement (include month and year)

Organization's contact name

Organization's website

Document or other supporting material

One file only.
256 MB limit.
Allowed types: pdf, doc, docx.

Activity 3:

Name of organization

Nominee's volunteer activities

Duration of involvement (include month and year)

Organization's contact name

Organization's website

Document or other supporting material

One file only.
256 MB limit.
Allowed types: pdf, doc, docx.

Who is making the nomination?

Nominations must be supported by 2 nominators

First nominator

Name

Phone

Second nominator

Name

Phone

Your privacy

Your personal information is being collected and used for the purpose of contacting you regarding your nomination and will be managed in accordance with s. 26 (c) of the Freedom of Information and Protection of Privacy Act. Nominations received will be shared with Council. For questions regarding the collection of your personal information and receipt of electronic messages, please contact Marketing and Corporate Communications at [email protected].