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Township of Puslinch, 7404 Wellington Road 34, Puslinch, Ontario N0B 2J0

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Volunteer Appreciation Award Application

The purpose of this program is to recognize and honour volunteers who demonstrate generosity of time and spirit by achieving outstanding results as a volunteer, inspiring others to service or making an extraordinary contribution to a community benefit organization or by championing an issue. 

The Township of Puslinch is committed to providing accessible formats and communication supports for people with a disability. If another format would work better for you, please contact the Township Clerk’s office for assistance.

Fill out the form below or download the printable PDF.

Nominee Information

Nominator Information

Click or drag files to this area to upload. You can upload up to 4 files.
I have read the nomination rules, regulations and criteria and certify that they accurately describe my nominee’s volunteer work. I agree that my nominee’s voluntary work was not performed as a condition of salaried employment, or solely as a requirement of any educational or professional course. I also attest to the fact that the volunteer is aware and approves of this application.
Freedom of Information Disclaimer
Personal information on this form is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act and is maintained in accordance with the Municipal Freedom of Information and Protection of Privacy Act. Questions regarding the collection of this information may be directed to the Township Clerk’s office.

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