Required fields are marked with asterisks (*)

Definitely Durham - Nomination Form

Deadline for nominations: July 15, 2026 @ 4:00 p.m.

Instructions:

Complete the nomination form in its entirety. Required fields are marked with an asterisk (*).
All nomination forms (and supporting information) become property of the Durham District School Board upon submission and will not be returned.
Nominators should retain a copy of their submission for reference.
All submissions will be acknowledged in writing.
Nominees cannot be “self-nominated” or nominated by immediate family members (nominee’s spouse, parents and grandparents, children and grandchildren, brothers and sisters, mother-in-law and father-in-law, brothers-in-law and sister-in-law, daughters-in-law and sons-in-law or adopted, half, and step members).

Information collected will be used to evaluate nominees and notify recipients of the Durham District School Board "Definitely Durham" Award, and is subject to the provisions of the Municipal Freedom of Information and Protection of Privacy Act, RSO 1990, c M-56

Relationship to Nominee?

Nominee Information

Nominee's First Name:

Nominee's Last Name:

Nominee's Home Address:

City:

Province/State:

Postal Code/Zip Code:

Nominee's Email Address:

Telephone/Cell #:

If Nominee is deceased, please provide date of death:

If Nominee is deceased:

Nominee's Elementary Education Background:

Nominee's Elementary Education:

Nominee's Secondary (HS) Education Background

Nominee's Secondary Education

Nominee's Post Secondary Education Background

Nominee's Post Secondary Education

Designations Achieved:

Is the nominee aware of this nomination?

Yes

Please provide a brief statement/overview/summary describing why you are nominating this individual:

Please provide examples of how the nominee has achieved outstanding success in achieving her/his goals (career, community activism, the arts, sports, or overcoming obstacles, etc.)

Special awards/honours won by the nominee:

Please include other information which you consider important: