Volunteer Team Excellence Nomination Form

If you encounter any difficulties with this application form, please contact volunteer...crohnsandcolitis...ca.

Your First Name* :	Enter your first name
Your Last Name* :	Enter your last name
Your Email* :	Enter your mail address
Your Phone Number* :	( ) - Second three digits Last four digits Enter your phone number
Your Role at Crohn's and Colitis Canada* :	Staff Member Volunteer Other
Nominees - Team Name* :
Nominees - Team Members* :	List name of all contributing volunteers
Nominees - Team Contact Email :
Nominees - Length of time volunteering together* :	Approximate length of time the team has been volunteering together
Province* :
Team's unique/special contributions and achievements* :	Highlight how the team's activities contributed to an increase in awareness, outreach, patient support, volunteer engagement and/or fundraising (Max 500 characters including spaces)
How did the team inspire others?* :	Describe how the team inspired others. (Max 500 characters including spaces)
Team collaboration* :	Highlight how the team demonstrated excellence in collaboration. (Max 500 characters including spaces)
Team impact* :	Describe how the impact of the team's accomplishments affected the local community and if benefits stretched beyond, to other communities nationally. (Max 500 characters including spaces)
Upload file if there is additional information you wish to submit:	Upload a .pdf or .doc file containing any additional information to support your nomination.

Canada has among the highest incidence rates of Crohn's and colitis in the world.
1 in 140 Canadians lives with Crohn’s or colitis.
Families new to Canada are developing these diseases for the first time.
Incidence of Crohn’s in Canadian kids under 10 has doubled since 1995.
People are most commonly diagnosed before age 30.

Volunteer Awards