Nomination Form-Maurice Lovnes Award - CMHA - Haliburton, Kawartha, Pine Ridge

Submissions will be accepted until 4:30 p.m. on Friday, June 24th, 2022.

The Maurice Lovnes Volunteer Award

The Maurice Lovnes Volunteer Award is presented to an individual or individuals who have volunteered with C.M.H.A. H.K.P.R., and who have exemplified the following traits during the year: Vision, Dedication, Caring, Support and Commitment.

Name of Nominee
First Last
Address of Nominee
Street Address Address Line 2 City Province Postal Code
Nominee's Email Address
Nominee's Phone Number
Length of service at CMHA HKPR
Positions Held
Committee Participation
Based on the above criteria, what is it about this nominee that makes them deserving of the Maurice Lovnes Volunteer Award?
Please write your response here. Maximum of 500 words.
What impact has the volunteer/nominee had upon CMHA HKPR or the community?
Please write your response here. Maximum of 500 words.
Does this person know you are submitting their name?
- Yes
- No
Your Name
First Last
Your Address
Street Address Address Line 2 City Province Postal Code
Your Phone
Your Email
How do you know the nominee? (e.g., family member, friend, colleague, etc)

Nomination Form–Maurice Lovnes Award

Submissions will be accepted until 4:30 p.m. on Friday, June 24th, 2022.

The Maurice Lovnes Volunteer Award

Peterborough Office

Kawartha Lakes Office

Administrative Office