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Nominee Information

Nominee Name *

Rank / Title *

Organization / Agency *

Years of Service *

Division / Unit *

Nominator Information

Nominator Name *

Relationship to Nominee *

Phone *

Email *

Award Category

Leadership and Service AwardAbove and Beyond AwardLeadership in Policing AwardCommunity Champion AwardRising Star AwardMental Health Leadership AwardLegacy of Service AwardLeadership in Community Policing AwardExcellence in Collaborative Policing Award

Nomination Narrative

Describe how the nominee meets the criteria for the selected award. Please include specific examples, achievements, and the impact of their contributions (recommended 500–750 words).

Supporting Documentation (Optional)

Letters of support attachedMedia coverage / articles attachedAdditional documentation attached

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Submission

Nominator Signature *

Date *

info@dwivedifoundation.ca

2026 Award Nomination Form