Nova Scotia Queen Elizabeth II Diamond Jubilee Medal Nomination Form
This form is used to nominate deserving Canadians for the Queen Elizabeth II Diamond Jubilee Medal in Nova Scotia. It requires personal details of the nominee and a summary of their achievements. Submissions must adhere to specific criteria and deadlines.
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How do I fill this out?
To complete this form, provide the nominee's personal information, including their name, address, and contact details. A brief summary of the nominee's achievements is also required. Ensure all sections are filled out accurately before submission.

How to fill out the Nova Scotia Queen Elizabeth II Diamond Jubilee Medal Nomination Form?
1
Fill out the nominee's personal details, such as name, title or rank, and contact information.
2
Provide the nominee's age group by selecting the appropriate category.
3
Write a brief summary of the nominee's achievements within the specified word limit.
4
Sign the form and provide your contact details as the submitter.
5
Submit the completed form by mail, fax, or email following the provided instructions.
Who needs the Nova Scotia Queen Elizabeth II Diamond Jubilee Medal Nomination Form?
1
Community leaders who want to recognize outstanding contributions by local residents.
2
Organizations looking to honor members who have made significant achievements.
3
Individuals seeking to nominate a family member or friend for their exceptional work.
4
Government officials tasked with identifying and acknowledging exemplary citizens.
5
Educators and mentors aiming to celebrate the accomplishments of their students or mentees.
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What are the instructions for submitting this form?
To submit this form, you can mail it to: Office of the Premier, PO Box 726, Halifax, Nova Scotia B3J 2T3. You can also send it by fax to 902-424-7648, or email a scanned PDF to medalnominations@gov.ns.ca. Ensure that all fields are completed and the form is signed before submission.
What are the important dates for this form in 2024 and 2025?
Submissions for the Queen Elizabeth II Diamond Jubilee Medal must be sent by April 30, 2012. Note that this date is historical, and future deadlines will need to be verified based on current announcements.

What is the purpose of this form?
The purpose of this form is to nominate deserving Canadians for the Queen Elizabeth II Diamond Jubilee Medal, recognizing their exceptional contributions to the community, province, or country. This medal honors individuals who have made a significant impact through their efforts and achievements. By submitting this nomination form, you help celebrate and acknowledge the valuable contributions of Canadian citizens.

Tell me about this form and its components and fields line-by-line.

- 1. Nominee's Title or Rank: Enter the official title or rank of the nominee.
- 2. Nominee's Given Names: Provide the first and middle names of the nominee.
- 3. Nominee's Last Name: Enter the last name (surname) of the nominee.
- 4. Nominee's Age Group: Select the age group of the nominee: Youth [5 - 12], Teenager [13 - 19], Adult [20 - 59], Senior [60+].
- 5. Nominee's Complete Home Address: Include the full home address of the nominee, along with the postal code.
- 6. Nominee's Home Phone: Provide the home phone number of the nominee.
- 7. Nominee's Email Address (Optional): Enter the email address of the nominee, if available.
- 8. Brief Summary Of Nominee's Achievements: Write a summary of the nominee's achievements, limited to 40 words or 250 characters.
- 9. Submission Sent By: Provide the name and contact details of the person submitting the nomination.
- 10. Signature: Include the signature of the person submitting the nomination.
What happens if I fail to submit this form?
Failure to submit this form by the designated deadline may result in the nominee not being considered for the medal. It is important to adhere to the submission guidelines and deadlines to ensure the nomination is reviewed.
- Missed Deadline: Submissions received after the deadline will not be considered.
- Incomplete Form: Incomplete forms may be disqualified from the nomination process.
- Ineligibility: Nominees who do not meet the eligibility criteria will not be considered.
How do I know when to use this form?

- 1. Recognizing Community Contributions: Nominate someone who has made significant contributions to their local community.
- 2. Honoring Outstanding Achievements: Use this form to honor individuals with exceptional achievements in various fields.
- 3. Celebrating Canadian Citizens: Nominate Canadian citizens who have positively impacted Canada or represented the country abroad.
Frequently Asked Questions
How do I fill out the nominee's personal details?
Provide the nominee's name, title or rank, complete home address, and contact information in the specified fields.
What is the word limit for the summary of achievements?
The brief summary of the nominee's achievements should not exceed 40 words or 250 characters.
Can I nominate someone posthumously?
Yes, the medal can be awarded posthumously as long as the nominee was alive on February 6, 2012.
What are the eligibility criteria for the nominee?
Nominees must be Canadian citizens or permanent residents who have made significant contributions to Canada or a particular community.
How do I submit the completed form?
Submit the form by mail, fax, or email using the provided contact details and instructions.
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Is there a deadline for submitting the form?
Yes, the form must be submitted by April 30, 2012, as indicated in the instructions.
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Yes, you can download the updated PDF after making edits on PrintFriendly.
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