Faith in Action Nomination Form

The Honourable Mayann Francis Faith in Action Award Nomination Form
The Honourable Mayann Francis Faith in Action Award, presented by Atlantic School of Theology, honours exceptional community outreach that is recognized as having provided significant benefit to the wider community.

Please fill out this nomination form that includes details about the type of achievement being recognized, the involvement of the nominated individual, and the impact of the achievement on the wider community and individuals. Please be clear and concise in your responses to the questions in the nomination form.
Please introduce yourself before sharing about your nomination.
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Nominee

Please ensure you answer the following questions and keep your responses within the space provided.
Nominee

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Please ensure your nomination answers the following questions and keep your responses to the space provided.
Please provide a clear description of the program or activity and describe the individual’s involvement.
What is your understanding of the nominee’s reasons for being involved in this work?
How long has the nominee been involved with the program or activity?
Describe the benefits this program provides beyond the nominee’s own religious community.
What, in your view, makes this program or activity unique and successful?
- We may contact you for information or clarification regarding your nomination.
- The information collected through the application process will be used only to determine the recipient of the Honourable Mayann Francis Faith in Action Award.
- Nominations are always open. To be considered for the next Convocation ceremony, your submission must be received or postmarked by the deadline listed on our website. Submissions received after this date will be safely held and reviewed for the following year.
Signature
Should be Empty:

The Honourable Mayann Francis Faith in Action Award Nomination Form

Please introduce yourself before sharing about your nomination.

Nominee