Nominee Form

Instructions to Nominee

You are being nominated for a Federal/Provincial/Territorial (F/P/T) Emergency Management Exemplary Service Award in recognition of your contributions to emergency management in Canada. Collection and use of personal information as set out and explained further in this document is necessary to complete the process in support of your nomination. In order to proceed, your consent for the collection and use of your personal information is required.  We would ask that you please read this form carefully. Providing your signature at the end of this form will confirm that you agree to the collection of personal information and understand how information about you will be used to support your nomination.

In the event that the nominated individual is a minor (under the age of majority in the jurisdiction of residence of the nominee), the nominee’s parent or legal guardian must sign this form and indicate that he/she is providing this consent on behalf of the minor being nominated.

For a posthumous nomination, the nominee’s executor is required to sign this form and indicate that he/she is providing this consent on behalf of the estate.

Nominee Information

Nominee’s Contact Information

Name of nominator:

Background Information

Efforts to improve community safety and resilience are usually the work of many people over time. On occasion, it is possible to single out individuals and groups to be acknowledged by their peers and Canadian society for exemplary conduct, actions and leadership as emergency management professionals.

Nominees for the Emergency Management Exemplary Service Award have distinguished themselves through their actions and contributions to advancing emergency management in Canada— to save lives, preserve the environment and protect property and the economy.

Successful nominations will reflect a sustained commitment to excellence in emergency management programming that is recognized by their peers, or one or more highly significant contributions that are seen by emergency management leaders in Canada as worthy of national recognition. Criteria are defined further in Section 2 Eligibility — below the following definition of “emergency management” for Canada:

Emergency Management

The Emergency Management Framework for Canada defines “emergency management” as “the management of emergencies concerning all-hazards, including all activities and risk management measures related to prevention and mitigation, preparedness, response and recovery.”

Prevention and Mitigation – to adapt to, eliminate, or reduce the risks of disasters in order to protect lives, property, the environment, and reduce economic disruption. Prevention/ mitigation includes structural mitigative measures (e.g. construction of floodways and dykes), and non-structural mitigative measures (e.g. building codes, land-use planning, and insurance incentives). Prevention and mitigation may be considered independently or one may include the other. 

Preparedness – to be ready to respond to a disaster and manage its consequences through measures taken prior to an event, for example emergency response plans, mutual assistance agreements, resource inventories and training, public awareness activities, equipment and exercise programs. 

Response – to act during, immediately before or after a disaster to manage its consequences through, for example, emergency public communication, search and rescue, emergency medical assistance and evacuation to minimize suffering and losses associated with disasters.

Recovery – to repair or restore conditions to an acceptable level through measures taken after a disaster, for example return of evacuees, trauma counseling, reconstruction, economic impact studies and financial assistance. There is a strong relationship between long-term sustainable recovery and prevention and mitigation of future disasters. Recovery programs provide a valuable opportunity to develop and implement measures to strengthen resilience, including by building back better. Recovery efforts should be conducted with a view towards disaster risk reduction.

Eligibility

Any person working/volunteering in the field of emergency management in Canada is eligible.

Nominees for the Emergency Management Exemplary Service Award may be emergency management professionals from any level of government (federal, provincial or territorial, municipal [upper/lower tier, county, city etc.]), Indigenous communities, a non-governmental organization, academia or an association, who have demonstrated exemplary service in the field of emergency management.

In order to complete the nomination package, the party putting forward the nomination will be required to provide 2 testimonials which support notable career achievements, including professional and volunteer activities and their significance.

The narrative should provide clear and concise examples of how the nominee has contributed to the advancement of emergency management in Canada. Please include clear examples of their contributions using some or all of the following attributes of an effective emergency management professional:

Please include any additional material in support of this nomination (i.e. awards or public citations, publications, media stories, tributes, etc.) that provide new information and insight into the nature of the accomplishments of the nominee.

For additional eligibility details for each category, please see the website for the Emergency Management Exemplary Service Award: https://www.publicsafety.gc.ca/emesa

Evaluation Process

Federal, Provincial and Territorial (F/P/T) jurisdictions and Search and Rescue review groups (as applicable) will review and choose the nominations to put forward to the F/P/T Senior Officials Responsible for Emergency Management (SOREM).  

SOREM will review and be asked to endorse the list of nominees put forward by each jurisdiction for the Emergency Management Exemplary Service Award.  /p>

All documents provided in support of the nomination for the Emergency Management Exemplary Service Award will be handled in accordance with the requirements of the applicable Privacy legislation.

Nomination Checklist

All materials should be sent to:


Privacy Notice Statement

In the event you are a successful recipient of the Emergency Management Exemplary Service Award, Public Safety will use your personal information on the Emergency Management Exemplary Service Award webpage and/or to promote the award via social media. In addition, the other government departments, F/P/T, and non-governmental organizations that are directly involved with the nomination may also choose to publish your personal information related to the award. This information is collected and used under the authority of the Department of Public Safety and Emergency Preparedness Act and the Emergency Management Act for the purpose of promoting public awareness of matters related to emergency management. 

You have the right to the protection of, access to and correction of your personal information, which is described in Personal Information Bank Emergency Management Exemplary Service Award (PS PPU 08).

Instructions for obtaining this information is outlined on the Public Safety Canada Access to Information and Privacy (ATIP) website.

Any questions, comments, concerns or complaints you may have regarding Public Safety Canada's handling of your personal information may be directed to our Access to Information and Privacy Coordinator by emailing atip-aiprp@ps-sp.gc.ca.

If you are not satisfied with PS's response to your privacy concern, you have the right to file a complaint with the Privacy Commissioner of Canada regarding the institution's handling of your personal information.

Consent to participate in the administration and nomination process

In order to complete the nomination process and to forward your nomination for consideration, your consent is required for the indirect collection of your personal information from a nominator or an individual chosen by the party making the nomination (hereinafter referred to as "nominator"). Your nominator will be providing a testimonial which will include information about you, including but not limited to, your story, information about your accomplishments, your professional achievements, your exemplary standards and/or any other information needed to meet the merit criteria as listed in Section 2 of this form.

Your participation in this nomination process is voluntary. Should you refuse to provide your personal information for the purpose of assessing and completing your nomination, you will not be considered for the Emergency Management Exemplary Service Award.

If you do not wish to provide your consent or to be considered for the Emergency Management Exemplary Service Award, please notify your nominator immediately so that your name can be removed from consideration.

I, (name of nominee),   confirm that I have read and understand the information contained in this document and provide my consent for the indirect collection and use of my personal information in support of my nomination and subsequent consideration for the Emergency Management Exemplary Service Award.

I agree to accept this nomination

Signature

Date

B. Consent to use your name, achievements and photo should you be selected

Your consent is required to have your name and reason for nomination shared publicly on the Emergency Management Exemplary Service Award webpage and to promote the awards via social media should you receive the Emergency Management Exemplary Service Award. Furthermore, is you are a successful recipient, your consent is required to have your photograph taken at the Emergency Management Exemplary Service Award ceremony and shared on the Emergency Management Exemplary Service Award webpage and on social media.  Your consent is also required so that your pictures could be shared with Associated organizations social media channels and websites and in a Drop-box for the recipients (on which site all recipients would have access to all the photographs in high resolution).

Providing consent to having your information shared once you have won the award is voluntary and will not impact your likelihood to win the Emergency Management Exemplary Service Award. 

If you do not wish to provide your consent to share your information after winning, please notify us immediately to ensure your information and photograph is not published on the webpage or social media.

I, (name of nominee),   acknowledge and understand that my names and photographs of the recipients of the Emergency Management Exemplary Service Award will be made public and in the event that I am chosen as a recipient of the award, I agree to have my name and photograph made public.

Signature

Date

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