2024 Murray Pinchuk Community Builder Award Nomination Form

The Pinchuk Community Builder Award recognizes the highest standard of community building excellence in the public and private realms. It is presented on World Town Planning Day to an individual, group or organization that has demonstrated an extraordinary commitment to making their Prince Edward Island community a better place today and for the future, in a way that touches on either the built or natural environment.

The 2024 deadline for submissions is Friday, October 25, 2024.

Please review the submission requirements found in the following document and complete and submit the online form found below.

Pinchuk Award Nominations Form 2024

Nominator Information(Required)

Please share the title of the Nominator.

Nominator Name(Required)

First Last

Nominator Address(Required)

Street Address Address Line 2 City Province Postal Code

Please list the address of the Nominator.

Nominator Telephone Number(Required)

Please list the telephone number of the Nominator.

Nominator Email(Required)

Please list the email of the Nominator.

Title of Project Being Nominated(Required)

Please note the title of the project being nominated for the 2024 Pinchuk Award.

Nominee Name(Required)

First Last

Please list the first and last name of the Nominee.

Nominee Address(Required)

Street Address Address Line 2 City Province Postal Code

Please list the address of the Nominee.

Nominee Phone(Required)

Please list the telephone number of the Nominee.

Nominee Email(Required)

Please list the email of the Nominee.

Community Builder's Activities and Accomplishments(Required)

Outline the Community Builder’s activities & accomplishments, highlighting specific initiatives and achievements.

Community Builder's Impact on Prince Edward Island(Required)

Describe how the Community Builder positively impacts our community on Prince Edward Island.

Awards, Honours, and Special Recognitions(Required)

Detail any awards, honours and other special recognitions given to the nominee for efforts in building our community on Prince Edward Island.

Is the nominee aware of this nomination?(Required)

Yes

Consent

I certify, to the best of my knowledge, that the information provided in this nomination form is correct. By checking this box, I acknowledge my consent.

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Name

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