Manning Awards Nomination Form

MANNING AWARD NOMINATION FORM

Deadline: September 15

Please fill out in as much detail as possible and return with supporting photographs, press releases etc. to:

Manning Awards Committee

Historic Sites Association of Newfoundland and Labrador 709-753-9262 (tel)

P.O. Box 5542,

St. John's, NF, A1C 5W4 709-753-0879(fax)

Attn: Executive Director info@historicsites.ca (e-mail)

1. Would you like your supporting materials returned? Yes: No:

2. Nominator's Name: _________________________________________________________________

Address: _________________________________________________________________

_______________________________________Postal Code: _______________

Phone:____________ Fax:ญญญญญญญญญ_____________ e-mail: ____________

3. I/We nominate (name of project ) ________________________________________________________

Project completed by(name of group/individual) ____________________________________________

Address of Group/Individual:_______________________________ Phone: _____________

_____________________________________ Fax: ______________

_____________________________________ e-mail: ______________

4. Historical Significance:

This project commemorates (check one) A Place: An Event: A Person:

It is important to:(check one) Our Community: The Province:

The Nation: The World:

5. Briefly describe the group or individual who completed the project. (Use another page if necessary)

(number of members, when formed, aims of group, previous projects, etc.)

_________________________________________________________________________

________________________________________________________________________

_________________________________________________________________________

6. Describe in detail the project or work that is nominated? (use another page if necessary)

________________________________________________________________________

7. What is the historic significance commemorated? How does the project present it?

_________________________________________________________________________

8. Time and effort involved in the project.

Number of Hours spent: _____ Over how many years? _______

Development and Implementation: Ongoing Support:

Planning ________ Maintenance _______

Committee meetings ________ Operation _______

Labour ________ Publicity _______

Fund raising ________ Other _______

Total development hours: ________ Total support: _______

Number of Volunteers: ________ Committee _______ Labour______

Did your project hire consultants? Yes: No:

Describe Community Support of the project. eg Town Council support, assistance from other groups, etc.

________________________________________________________________________

9. Costs involved in the project:(This is used by the committee to try to appreciate the scope of the project, and the involvement of the community)

Planning ________

Development ________

Completion ________

Total ________

10. How the money was raised:

Total Grants: ___________ Federal: ___________

Provincial: ___________

Other: ___________

Fundraising ___________

Other ___________

Total ___________

11. When did work on the project begin? If it is not complete, what is the completion date?

________________________________________________________________________

12. Include copies of any photographs, press releases, publicity, special events brochures that have been used to promote the project.

Included: Yes: No: