2021 Caregiver Nomination Form

Are you nominating a Family or Professional Caregiver?

Family Caregiver Professional Caregiver

NOMINATOR INFORMATION

Your Name:

Email:

Phone:

NOMINEE INFORMATION

Caregiver Name(s):

Province:

Email:

Name of Individual(s) Receiving Care (if applicable):

Relationship to Caregiver:

Occupation (professional caregivers only):

Location of Professional Care (if applicable):

CAREGIVER SITUATION

Please describe in some detail the caregiving situation for your nomine including:

Nature of illness/disability/frailty of individual(s) receiving care
Nominee’s caregiving role and responsibilities
Specific challenges and how nominee deals with these challenges
Other notable considerations (e.g., nominee’s community involvement)

Guideline Length: 200 – 300 words

ONE WISH AWARD

If you could make one wish come true for your nominee using up to $10,000, what would it be? Please be specific and focus on something that would make a real difference in your nominee’s life (excluding vacation trips).

Note: Quebec residents not eligible for One Wish Award.

Agree to Terms.

2020 Award Winners

Congratulations to our 2020 caregiver award recipients who have been recognized for their outstanding contributions. Learn more about our winners.

One Wish Award

Antonio Bautista
Hope McLaughlin
Shantelle Bailey
Stephanie Kok
Kim Burns

National Family Caregiver of The Year

Tara & Amanda Fowler

Award of Excellence

George & Colleen Maclagan
Hanna Shaker
Eugene Paquin
Doris Doucet & Diane Berard
Barbro Dick & Tim Steadman & John Steadman
Aileen Phillip
Jacqueline Banks
Robert Todd Stephens
Aimee Pante Roberto
Kelly Hale
Colleen Elizabeth
Georgina Bassett

National Professional Caregiver of The Year

John Angelo Magarro

Award of Excellence

Mary MacDonald
Cynthia Burton
Nicole Johnson
Britanny Lacroix
Leigha Illman
Kpana Kpehe
Rob Taylor
Caitlin Sutch

Publications:

Color & Control:

FONTS:

2021 Caregiver Nomination Form

NOMINATOR INFORMATION

NOMINEE INFORMATION

2020 Award Winners

One Wish Award

National Family Caregiver of The Year

Award of Excellence

National Professional Caregiver of The Year

Award of Excellence

Subscribe to CAF!

Quick Links

contact Info