OMSSA Awards - Young Leader Award Nomination Form

OMSSA Awards - Young Leader Award Nomination Form
Nomination Deadline: September 12, 2025

Description:
Honouring an individual 30 years or younger who has been recognized as a leader, created change, and strengthened leadership in their community.

Criteria:

The recipient must be 30 years and under in the year the nomination is made.
Has been recognized as a leader in their community and seen as a person who hascreated change, as well as strengthened leadership in various capacities.
Special consideration to be given to someone involved in human services sector work.

Nominations Process:

Any OMSSA member can nominate another individual, including themselves.
Only one nomination per member will be accepted.
Nominators must receive sign-off from their Commissioner/Lead.
As part of your application, we kindly ask that you include a headshot photo and supporting documentation and/or video (up to 2 minutes) demonstrating the nominee’s work.

Equity, Diversity, and Inclusion
OMSSA encourages nominations that reflect the diversity of our membership, in particular from individuals from racialized groups and Indigenous Peoples to ensure that our awards are reflective of the racial diversity of the populations our members serve.

Nominator Information
Nominators are asked to complete several questions before providing their nominee's information. OMSSA will contact nominators with any clarifying questions and once the Awards Committee has made their selections.

First Name *

Last Name *

Email *

Organization Name *

Date: *

Position/Title: *

Phone Number: *

Do you have sign-off from your Commissioner / Lead? (Nominators must receive sign-off from their Commissioner/Lead)

Yes

Please confirm your Commissioner / Lead (please type name): *

Nominee Information

Name of Nominee: *

(Nominee Main Contact): Position/Title: *

(Nominee Main Contact): Email Address: *

(Nominee Main Contact): Phone Number: *

Nominee's Organization: *

Please confirm that the nominee is 30 years or younger in the year the nomination is made:

Yes

LEADERSHIP IN HUMAN SERVICES

*Please review eligibility criteria on our website and limit each response to 300 words or less

Please describe how the nominee, 30 years old or younger, has been recognized as a leader in their community: *

(Word limit: 300)

Please describe how the nominee has created change, as well as strengthened leadership in various capacities: *

(Word limit: 300)

Please upload a headshot image of the nominee (please limit upload to 3MB, must be in .jpeg/.jpg or .png format): *

Please upload any additional documents to support your nomination (this could include a resume, published report, video, etc.)

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