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Baillie Award Application Form

NOMINATION FORM Personal information on this form will be used to determine eligibility and to notify recipients of the Baillie Volunteer Service Awards.

Nominating Community of Faith
Nominating Community of Faith:
Regional Council:
Contact Name:
Contact's Position in the Community of Faith:
Contact Email:
Contact Phone:
Street Address:
City/Town
Province:
Postal Code:
Award Nominee
Nominee Name:
Nominee Pronouns:
Age:
Email:
Phone:
Street Address:
City/Town:
Province:
Postal Code:
Description of Nominee's Volunteer Activities:
Please upload any supporting documents or additional information you would like to include.
Max. file size: 256 MB.

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