2015
Gary Putman Award
Call for Nominations
past recipients
2007 - gary putman
2008 - robin berger
2009 - sue snider
2010 - martin porteous
2011 - mary vervoort
2012 - maryanne breadner
2013 - maureen stolk
2014 - cheryl schneider
Gary Putman was the Executive Director of Dufferin
Child and Family Services for 29 years. After retiring in
2007, the Agency is honouring Gary’s contribution and
dedication to children and families in Dufferin County
on an annual basis with this award.
Individuals will be judged by their contribution in one or more of these areas:
• The individual has improved the health, wellness and security of children and families in Duﬀerin
County by giving of their personal time and skills to improve the quality of life for these groups. There
is evidence that the individual has dedicated a substantial portion of time to help others.
• The individual has applied innovation, creativity, cooperation and hard work to advance, develop,
expand or create programs and/or supports to enhance services for children and families in Duﬀerin
County.
• The individual has raised community awareness of a social cause focusing on issues of concern for
children and families in Duﬀerin County.
• The individual has formed sucessful community partnerships within Duﬀerin County and has demon
strated an ability to eﬀectively involve other organizations and individuals to enhance services for
children and families in our community.
Please take this opportunity to nominate a deserving individual
Award will be presented at Dufferin Child and Family Services
Annual General Meeting on Wednesday, June 10th, 2015
Nomination Deadline: Friday, May29th, 2015
Mail completed nomination forms and supporting information to:
Carrie Jenks, Executive Assistant
Dufferin Child and Family Services
655 Riddell Road, Orangeville, ON L9W 4Z5
email: [email protected] fax: 519-941-1525
children’s mental health • child protection • developmental support
2015
Gary Putman Award
FIRST
NAME
NOMINEE
TITLE
LAST NAME
COMPANY
(
)
(
PHONE
)
FAX
MAILING
POSTAL
ADDRESS
CODE
CITY
EMAIL
please indicate whether the nominee is aware
of the nomination:
NOMINATOR
FIRST
NAME
TITLE
(
POSTAL
LAST NAME
COMPANY
)
(
PHONE
MAILING
Yes
)
FAX
ADDRESS
CODE
CITY
EMAIL
Brief description/reason for nomination
Completed Nomination Form must include a letter of support from the nominator describing the individual’s contributions to
the award criteria. Newspaper articles, awards and photographs may be included. Nominations are evaluated by a committee
and are judged solely on the contents of the nomination form and supporting documents.
children’s mental health • child protection • developmental support
No
2015
Gary Putman Award
Please include a letter of support describing the individual’s contribution in one
or more of the following areas:
CRITERIA
• The individual has improved the health, wellness and security of children and families in Duﬀerin
County by giving of their personal time and skills to improve the quality of life for these groups. There
is evidence that the individual has dedicated a substantial portion of time to help others.
• The individual has applied innovation, creativity, cooperation and hard work to advance, develop,
expand or create programs and/or supports to enhance services for children and families in Duﬀerin
County.
• The individual has raised community awareness of a social cause focusing on issues of concern for
children and families in Duﬀerin County.
• The individual has formed sucessful community partnerships within Duﬀerin County and has demon
strated an ability to eﬀectively involve other organizations and individuals to enhance services for
children and families in our community.
I give Dufferin Child and Family Services permission to disclosemy name to the
nominee and to include my name in materials relating to the award.
I prefer to remain anonymous
Dufferin Child and Family Services will contact nominees regarding their nomination. The winning nomination will be
asked to attend the Annual General Meeting to receive their award.
Nominations may be kept for an additional year for consideration by the judging panel.
SIGNATURE:
DATE :
Nominations must be received on or before Friday, May 29th, 2015
Mail completed nomination forms and supporting information to:
Carrie Jenks
Executive Assistant
655 Riddell Road, Orangeville, ON L9W 4Z5
email: [email protected]
fax: 519-941-1525
children’s mental health • child protection • developmental support