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Nomination Form For The National Awards For Outstanding Fatherhood 2012
Nomination Form For The National Awards For Outstanding Fatherhood 2012
Nomination Form For The National Awards For Outstanding Fatherhood 2012
MYSTIC
MENTOR
Primary Expressions
Concern, Interest
Awe, Wonder
Empathy, Encouragement
Personal Values
Friendship, Loyalty
Individual excellence
Cosmic awareness
Primary Virtue
Respect
Trust
Patience
Hospitality
Deference Humility
Divine Word Affiliation, Rituals, Customs, Storytelling Teaching, Fidelity, Purpose, Knowledge, Authority, Tradition
Divine Union Bonding, Mutuality, Befriending Bonding, Relationship, Endurance, Dependability, Faithfulness, Belonging
Spirituality, Groundedness, Connection to God and nature, Openness to intention, Memories s, Eccentricity, Commitment to cause the cause
INSTRUCTIONS FOR COMPLETION OF NOMINATION FORMS Persons making nominations are asked to ensure that all particulars requested in respect of the nominee are supplied. These include: 1. 2. Names that are given shall be the correct names Contact and telephone information should be included
The closing date for the receipt of nominations for the National Fatherhood Awards is: Friday 03rd August 2012. Nomination forms completed in accordance with the instructions should be addressed to: National Fatherhood Awards Committee c/o John Paul II Centre on Fatherhood #1 Henry Pierre Street, Mucurapo Road, St. James Trinidad Nomination forms can also be obtained electronically from the John Paul II Centre on Fatherhood by sending an email to ctccommunity@gmail.com, putting Nomination Form in the subject field. The completed forms can then be submitted using the same e-mail address, and subject.
Nominees Information
Surname Is he a citizen of Trinidad & Tobago? Residential Address Postal Address Home Contact No. Email Address Mobile Contact No. Work Contact No. Other Contact No. First Name If No, please state citizenship Other Names Occupation / Profession
2.
Describe how the nominee embodies one of the five Healthy Fathering Styles.
3.
What about this nominees contribution of fatherhood to his family makes him suitable for a national award for outstanding fatherhood?
4.
How has this nominee demonstrated outstanding fatherhood in his community, or the wider society?
5.
Please provide the name and contact information of a person outside of the nominees immediate family who can vouch for the nominees suitability for this award.
Nominators Information
Surname Occupation Residental Address Postal Address Home Contact No. Organizations Address Telephone Contact No. Fax Contact No. Organizations Email Address Mobile Contact No. Work Contact No. Other Contact No. First Name Name of Organization Other Names
Signature
Date (dd/mm/yyyy)