Provincial and Territorial Nominator Form
Instructions to Nominator
Indicate which category is most relevant to the nominee's achievements. Choose only 1 category.
- Emergency Management Exemplary Service Award: Resilient Communities
- Emergency Management Exemplary Service Award: Youth
- Confirm Youth nominees are under the age of 30 at the time of application
- Emergency Management Exemplary Service Award: Outstanding Contribution to Emergency Management
Nominator Information
- Indicate preferred language: English or French
- Provide preferred salutation: Title, Mr., Mrs., Ms., etc.
- Provide full name as follows: First Middle Initial Last
Nominator’s Contact Information
- Apartment number, street number, street name
- P.O. Box, R.R., Municipality
- Province/Territory
- Postal Code
- Daytime Telephone
- Alternate Telephone
- Position title and organization
To start the nomination process, please ask the nominee to download and submit a nominee form, which includes consent for use of personal information. This form must be signed and submitted with your nomination package. For group nominations, each group member must complete and sign a separate nominee form to be submitted with your nomination package.
Please see Section 4 Nomination Checklist for additional details on the nomination package.
Privacy Notice Statement
All personal information collected as part of the nomination process will be used solely for the purpose of assessing and completing the nomination. Personal information will be disclosed to other government departments, F/P/T, and non-governmental organizations for the purpose of the selection process. Participation in the nomination process is voluntary. Should you refuse to provide the necessary information, the nomination you put forward cannot be accepted.
You have the right to the protection of, access to and correction of your personal information, which is described in Personal Information Bank.
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
regarding the institution's handling of your personal information.
Please indicate the name of the nominee(s):
- For group nominations, please include the names of all group members.
Please complete the following criteria:
- Summary of significant achievements to advance emergency management in Canada and/or to respond in an exemplary manner to a major crisis or emergency situation affecting life, health and/or property (e.g. 500 words)
- For individual nominations: Brief biography of nominee and their background/history and nomination criteria (e.g. 250 words)
- For group nominations: Brief overview of the group/project team, their background/history and nomination criteria (e.g. 250 words)
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:
- Leadership
- Communication
- Integrity
- Critical thinking and vision
- Collaboration and partnership
- Furthering the development of emergency management as a profession
- Applied research and technologies with far-reaching impacts
- Innovation
- Organizational excellence (service delivery, client service)
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 nominations in the Youth category, please indicate that all nominees are under the age of 30 at the date of application
- For group nominations, there is a maximum of 20 members per group
For additional eligibility details for each category, please see the website for the Emergency Management Exemplary Service Award:
General Instructions
- Nominations may be made by the organization that the nominee belongs to (i.e. employer, volunteer/ association/etc.) or another person or body
- Self-nominations are not accepted
- The nomination package, including nominator and nominee forms, external testimonials and supporting information must be completed in full.
- The complete nomination package must be submitted to the coordinates in Section 4 Nomination Checklist
Nomination Checklist
- Nominator form
- Nominee form
- Note for group nominations: a separate nominee form must be completed and signed by each group member.
- Written testimonials from at least two additional persons who can attest to the value and impact of the individual or group’s achievements (e.g. 250 words each)
- Each testimonial must be dated and signed.
- Additional reference material to support the nomination, as required (such as media clippings, etc.)
- Additional material should not exceed 5 pages
All materials should be sent to:
Public Safety Canada
Emergency Management Exemplary Service Award
269 Laurier Avenue West, Room 17B-2500
Ottawa, ON K1A 0P8 Canada
emesa-psesc@ps-sp.gc.ca
- Date modified: