Kings Charles III's Coronation Nomination Form | Larry Brock, MP for Brantford-Brant

NOMINATIONS FOR King Charles III Coronation medal

A Canadian commemorative medal has been created to mark His Majesty King Charles III’s Coronation on May 6th, 2023. In celebration and honour of His Majesty and his dedication to a life of Public Service, I am proud to announce that I, along with MPP Will Boumas Office, will be recognizing residents of Brantford-Brant who have demonstrated outstanding contributions and good citizenship in our community.

Nomination for this award is open to deserving individuals including community builders, caregivers, educators, entrepreneurs, faith leaders, emergency responders, good neighbours, artists, athletes, coaches, students, seniors, or any other unsung hero who has helped make Brantford-Brant the wonderful and vibrant place it is today.

Here in our community of Brantford-Brant, we are incredibly fortunate to have an abundance of community minded individuals who generously and willingly give their time, talents, and energy to improve the lives of others... So, lets make sure they’re recognized!If you know someone who has made a significant difference in Brantford-Brant, please acknowledge their contributions, and show your appreciation by nominating them for this special award, either through my office or MPP Boumas. The nomination deadline is September 27th, 2024.

You can download a Nomination Package HERE.

Award recipients will be honored at a commemorative ceremony, the date and location is to be confirmed.

The Medal will highlight themes that both King Charles III and Canadians hold dear, including service, the environment and sustainability, and our nation’s diversity.

We look forward to reading your submissions!

Eligibility:

Nominee must be a Canadian citizen or a permanent resident of Canada.
Nominee must be an individual who resides within the boundaries of the Brantford-Brant federal electoral district.
Nominee must have made a significant contribution to the community
Been alive on May 6, 2023, the date of His Majesty’s Coronation.
Nominations can be made posthumously, as long as the nominee was alive on that date.
One cannot nominate oneself.

Nomination Process:

Nominations must be supported by a nominator.
Nominations are to be submitted by email, hard copy mail (no postage required) or dropped off in person at MP Larry Brock’s or MPP Will Boumas constituency office.
Incomplete applications will not be accepted. Nomination packages will not be returned once submitted.
All supporting letters must describe the author's direct knowledge of the value and impact of the nominee's contribution to the community as well as the author's perspective about why the nominee should receive this recognition.
Nominations may include newspaper articles or other materials illustrating the nominee's contributions.
Nominations must be received by September 27th, 202

Please note that this is a joint process between MPP Bouma’s office and my office. To ensure a smooth review, please submit your application to only one office, and assured they will be reviewed by both.

Nomination Checklist:

Completed Nomination Package/Form
Letter from sponsor nominator outlining nominee’s relevant activities/accomplishments (maximum 1 page)
Optional: Supporting materials (letters, newspaper articles, etc.)

How to Submit Nomination:

You can drop-off or email your nomination form to either MP Brock's or MPP Bouma's offices.

MP Brock's Office:

108 St. George Street, Suite 3
Brantford, ON N3R 1V6
Phone: 519-754-4300
Email: larry.brock@parl.gc.ca

MPP Bouma's Office:

Suite 101, 96 Nelson Street
Brantford, ON N3T 2X1
Phone: 519-759-0361

Email: will.bouma@pc.ola.org

*Please submit your nomination only once and for just one office.*

For More Information please contact;

Teresa Percival

Chief of Staff

Larry Brock, MP