Outstanding London Ambassador Award - Nomination Form

Note: Fields marked with ★ are mandatory.

Section 1 - Nominee Information

Name of the individual, business or organization you are nominating

Name of representative for the business or organization (including position title, if known)

Address

Telephone

E-mail

Category

• Individual
• Business
• Organization

Status (must have resided in London during the time of the initiative)

• Resident of London
• Non-Resident of London

How does this individual, business or organization demonstrate an outstanding contribution to bringing a positive national and international recognition to London that may result in encouraging people to move to London, encouraging businesses to invest in London or encouraging people to visit London? Please provide as much information as possible, and do not assume the evaluating committee is already aware of this individual, business or organization's contributions.

Section 2 - Nominator Information

Your Name

Address (please include postal code)

Phone

E-mail

Thank you for your nomination!

Submitter E-mail (In case we need to reach you regarding this submission)

NOTICE OF COLLECTION OF PERSONAL INFORMATION: Please be advised all nominations submitted for the Outstanding London Ambassador Award become part of the public record. The nominations will be published on a public agenda and made available electronically through the City of London public internet website. The personal information collected on this form is collected under the authority of the Municipal Act 2001, as amended. Questions about this collection should be addressed to the City Clerk at 300 Dufferin Avenue, London, Ontario N6A 4L9 Tel: 519-661-2500 Ext. 4937.

Note: If the form does not appear to submit, please open each section and confirm that there are no issues or missing required fields.