SurreyCares
Box 34089
Surrey, BC V3S 8C4
Tel 604.591.2699
[email protected]
SurreyCares Community Foundation is pleased to announce our inaugural event, Serving with Distinction. We want to
publicly recognize the work undertaken in the charitable and non-profit sector in Surrey, those who serve so diligently to
make Surrey a better place to live and work. Featuring dinner, entertainment, connections with others in other sectors.
Open to any non-profit or charity that has offices and/OR that serves in Surrey, Delta, White Rock, Langley.
Awards categories are:
 Leadership: Individual (staff or Board);
 Volunteer engagement
Corporate Culture
 Social enterprise
 Client success
 Vital Signs: Newcomers (those serving
 Campaign excellence (communications,
newcomers-to-Surrey)
fundraising, or specified other)
Nomination is easy! Just fill out this form and email it by noon, January 16, 2017, to SurreyCares: [email protected].
NOMINEE:
Name: ______________________________________ Agency Name: __________________________________________________
Address: ____________________________________ _______________________________________________________________
Phone number: ______________________________ email: _________________________________________________________
ORGANIZATION PROFILE: (please provide a brief profile of the nominated agency and/or individual):
______________________________________________________________________________________
______________________________________________________________________________________
ORGANIZATION EXCELLENCE: (briefly tell us why they should win. Additional paper may be used):
______________________________________________________________________________________
______________________________________________________________________________________
NOMINATOR:
Name ______________________________________ Agency Name: __________________________________________________
Phone number: ______________________________ email: _________________________________________________________
 The nominee has given you permission to submit this nomination
 The nominee agrees to attend the Serving with Distinction Awards event
 The nominee agrees to be videotaped/photographed for SurreyCares’ promotional purposes
Our adjudication committee will interview each candidate in January. The winners will be announced at our Serving with Distinction
Awards event on February 28th, 2017 at 6pm. Nominees must be present to win. Tickets may be purchased online or through the
SurreyCares office. Organizations may self-nominate.