peace nom test | YMCA of Simcoe/Muskoka

Peacemaker Nominee Information

Medallion Category:

Title: Mr.Mrs.Ms.Miss.

Name: (First & Last)

Group/Organization Name: (If Applicable)

Please Enter Your Mailing Address Below

Street:

Apt#:

City/Province:

Postal Code:

Phone Number:

Email:

Nominator Information

Title: Mr.Mrs.Ms.Miss.

Name: (First & Last)

Please Enter Your Mailing Address Below

Street:

Apt#:

City/Province:

Postal Code:

Phone Number:

Email:

Relationship to Nominee:

Reference

Title: Mr.Mrs.Ms.Miss.

Name: (First & Last)

Please Enter Your Mailing Address Below

Street:

Apt#:

City/Province:

Postal Code:

Phone Number:

Email:

Relationship to Nominee:

Provide a brief history of the organization or group.
For group nominations only.

How has the nominee inspired you and others through their acts of peace?

How does the nominee demonstrate the YMCA values of PEACE?
Please refer specifically to the values of PEACE acronym.

What is the impact of the nominee’s peacemaking work on the local, national, or global community?

Describe any collaboration between the nominee and other groups and individuals.