Nominee information – Étape 1 de 5GreetingsSirMadamMissLast nameFirst nameDate of birthAdressCity Postal codeAreaCollines-de-l'OutaouaisGatineauPapineauPontiacVallée-de-la-GatineauE-mailPhone numberNextLast nameFirst nameE-mailFonction or position heldPhone numberPreviousNextCommitmentPlease note that you must fill out a minimum of one commitment.Commitment #1Describe what actions and results have come from their workWhat impact has their actions had on the organizations, its members and/or the general public through their volunteer workName of the organization, for which they volunteer and the title of their position heldRoughly, how many hours were invested in this organization, by the candidate, during the past year?How many years has the applicant been volunteering with the organization? Start date – end dateCommitment #2Describe what actions and results have come from their workWhat impact has their actions had on the organizations, its members and/or the general public through their volunteer workName of the organization, for which they volunteer and the title of their position heldRoughly, how many hours were invested in this organization, by the candidate, during the past year?How many years has the applicant been volunteering with the organization? Start date – end dateCommitment #3Describe what actions and results have come from their workWhat impact has their actions had on the organizations, its members and/or the general public through their volunteer workName of the organization, for which they volunteer and the title of their position heldRoughly, how many hours were invested in this organization, by the candidate, during the past year?How many years has the applicant been volunteering with the organization? Start date – end dateBoosting their candidacyPlease list any honours, recognition, mentions or prizes that the volunteer has received in the past.PreviousNextMaximum of two attachments, such as a letter of support, press review, etc.Attachment #1Attachment #2Logo of the organizationPreviousNextI declare that, to the best of my knowledge, the information provided in this form is accurate. I agree that all information I have provided in this form, may be forwarded to the appropriate parties, for the purpose of analyzing the application. I further acknowledge that I am responsible for notifying the candidate that I have nominated them, along with the date that the Gala Excellence sportive Outaouais will take place.Déclaration *I acceptPreviousPhoneSubmit application