NCR Executive of the Year NOMINATION FORM

Please complete and submit your nomination form to NCR_Admin@pipsc.ca. Please print or type on nomination form (except for signature requirements).

Nominee’s Personal Information

Name (in full):

Business Address:

Business Telephone Number:

Residence Telephone Number:

Present Occupation or Title:

Nomination

I/ We _ the undersigned, hereby nominate _ for consideration by the NCR Awards Committee for NCR Executive of the Year. I, the undersigned, have read and understand the procedures and terms of reference for this award.

Eligibility

P1.3.2.1 Candidates must be a PIPSC member in good standing, with a minimum of 5 years of service on a PIPSC Constituent body executive. Service need not be continuous, nor in only one executive or committee.

Criteria

The NCR Executive of the Year is given to a member of the Institute in the National Capital Region who:

a) Has served diligently for at least five years on a PIPSC Constituent body executive, national or regional committee, or the Regional Executive (List dates and Constituent Body).

b) Has made a substantial contribution to the members of the Institute; and

c) Has made improvements in the recognition and status of the Institute in the workplace and/or the region.

The Awards Committee will use a points-rating system that sets the weighting of these criteria for each award.

(a) Work-site achievements – mediation, information, organization, exemplary service and visibility, - 20 of 100 points

(b) Service to the Institute – education and creating awareness of the role of PIPSC Stewards in the Work place; active participation in branches, executives, general Institute activities etc.

- 50 of 100 points

– 30 of 100 points

Other Remarks