Nomination Form – Builder

PERSONAL INFORMATION

Full name of the nominee

Nickname (if applicable)

Place of birth

Date of birth

Street address *

Apartment, suite, etc.

City *

Postal code

Phone number

Email address *

Date of residence in the Edmundston area (if applicable)

Spouse’s full name

Education and training0 / 180

Children’s names0 / 180

FOR POSTHUMOUS NOMINATIONS

Date of death

Immediate relative

Relationship

Street address *

Apartment, suite, etc.

City *

Postal code

Phone number

Email address *

BUILDER CATEGORY

General Information
A “BUILDER” is an individual or group who has demonstrated tangible leadership in the development of the arts, with a contribution that is both remarkable and lasting. This category may include: organizers, producers, educators, cultural workers, and other key contributors to the arts community. The evaluation criteria are as follows:

1. Contribution to the Community (45 points)

A builder who leaves a lasting impact on the community typically does so over many years. Their sustained involvement serves as a model. Key factors considered: roles held, peer evaluations, and dedication to the community.

Use 12-point font – Maximum 750 words

2. Consistency / Long-Term Dedication (35 points)

Builders who make a lasting mark usually do so through years of consistent and dedicated involvement. Key factors: number of years involved, consistency, dedication, and knowledge sharing..

Use 12-point font – Maximum 650 words

3. Personal Characteristics (20 points)

The following personal qualities are also important: personality, leadership, involvement in other community areas, teamwork, etc.

Use 12-point font – Maximum 550 words

4. NAME OF THE INDIVIDUAL OR GROUP SUBMITTING THE NOMINATION

Street address

Apartment, suite, etc.

City

Postal code

Phone number

Email address

If an organization, provide the contact person’s name

Title / Position

Consent

I HEREBY DECLARE THAT, TO THE BEST OF MY KNOWLEDGE, ALL THE ABOVE INFORMATION IS ACCURATE AND COMPLETE.

Signature of the person responsible (Type your full name)

Date

5. A 5" x 7" or 8" x 10" color or black-and-white photograph MUST BE ATTACHED TO THE NOMINATION FORM.

6. THE FOLLOWING DOCUMENTS MAY ALSO BE ATTACHED: letters of support, press clippings, copies of awards, honors, etc. (maximum 6 pages).