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Manitoba Cooperative Awards 2016 Nomination Form


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Manitoba Cooperative Awards

2016 Nomination Form
Nominations are invited for the Manitoba Cooperative Awards Program to honour individuals and organizations in Manitoba that have made an outstanding contribution to cooperatives and credit unions. The Awards will be presented during National Co-op Week, October 16 – 22, 2016, at a banquet attended by cooperative and credit union members and officials and government representatives.
Manitoba Cooperative Award Categories


  1. Distinguished Cooperator Award

  2. Cooperative Merit Award

  3. Cooperative Achievement Award

  4. Youth Leadership Award





Distinguished Cooperator Award
This award recognizes and honours Manitobans who have made significant contributions to the development and success of the cooperative community through long, varied and meritorious services in volunteer, elected or employed positions within cooperatives and credit unions. This individual will have contributed to a variety of co-ops, including co-ops on the local, regional and national level.
Current, former & retired employees, elected officials, volunteers and members of cooperatives and credit unions are eligible for nomination. The nominee must have lived in Manitoba and contributed to cooperatives and credit unions.


Cooperative Achievement Award
To recognize and honour cooperative organizations in Manitoba that have made significant contributions in innovation, achievement and initiatives toward the development and success of cooperative services, cooperative members, and their communities. The achievement must have been initiated within the last 10 years and have already demonstrated recognizable benefits to the members and organization(s) involved, as well as the surrounding community.
Cooperative and credit unions are eligible for nomination but must be operating in Manitoba.

Cooperative Merit Award
This award recognizes and honours Manitobans who have made significant contributions to the development and success of a cooperative through service in volunteer, elected or employed positions within a single cooperative or credit union. The contributions of this individual to their co-op have enabled their co-op to grow and thrive.
Current, former & retired employees, members, elected officials, volunteers and others who have supported the cooperative or credit union are eligible for nomination. The nominee must have lived in Manitoba.

Youth Leadership Award
The award recognizes significant contribution by young people, aged 30 and under, in cooperative endeavours. This award may also recognize the commitment and achievements of individuals or organizations in mentoring youth and supporting their successes as young cooperative leaders.
Individuals, both youth and adults, and organizations are eligible for nomination. The nominee must have lived/operated in Manitoba.

The Manitoba Cooperative Awards is a program of the Manitoba Cooperative Association.




Nomination and Selection
Manitoba Cooperative Award winners are selected based on the information provided on the nomination form. Nominations should include clear and comprehensive information and appropriate details according to the nomination category. Applications may be rejected if the nomination process is not followed as outlined in the nomination form.
Award recipients will be selected by a Selections Committee representing the Manitoba Cooperative Association. All nominators will be notified by letter when award recipients have been selected. The names of other nominees will be kept confidential.
Additional Information


  1. Any registered Manitoba cooperative or credit union may submit a nomination for a Manitoba Cooperative Award. An authorized officer of the nominating co-op or credit union must sign the nomination form to affirm support for the nomination and the information contained in the form.




  1. The nominee, or an official of a nominated cooperative, must sign the nomination form to give consent and to let their name stand for nomination.




  1. For individual nominations, please submit a 4”x6” photograph of the nominee with the completed nomination package. This photograph will be used in the Awards Banquet Program if the nomination is successful. Successful organization nominations will be required to submit a high resolution electronic version of their logo for inclusion in the Awards Banquet Program.




  1. It is the responsibility of the nominator to work in association with the nominee to ensure that the information is complete and provides the details needed for a committee of strangers to evaluate the contributions. For example, when completing the nomination form general statements such as “spent many years on the board” or “made many contributions” say little of value. Instead, provide more detailed and measurable information, such as “served on the board of Co-op X for 10 years, 2 as secretary and 6 as president” or “proposed and led the successful negotiations to amalgamate Co-ops X, Y and Z. Within 5 years their combined membership increased from 650 to 1100, and annual sales from $1.5 million to $4.6 million.” As much as possible, please separate events and achievements, and please use bullet points instead of lengthy narrative.




  1. Nominators may forward more than one nomination in any given year, provided that each nomination relates to a different individual or project.




  1. To be eligible to receive an award for the current year, a completed nomination form must be submitted during that year. Nominations from previous years are eligible for resubmission on the following years nomination form.


The deadline for receipt of completed nomination forms is May 15, 2016. Mail or email (with scanned signatures) the nomination to:
Manitoba Cooperative Association

Main floor - 317 Donald Street

Winnipeg, MB R3B 2H6

info@manitoba.coop
For further information or to receive additional nomination forms, please contact the Manitoba Cooperative Association at the address listed above or by phone at (204) 989-5930.





Please Indicate Award Category

(one per nomination)


 Distinguished Cooperator Award

(complete pages 3 - 6)


 Cooperative Achievement Award

(complete pages 3 and 7 - 8)


 Cooperative Merit Award

(complete pages 3 - 6)


 Youth Leadership Award

(complete pages 3 and 9)



Nominee’s Name (individual or organization)      

Address      

Phone (home)       Phone (business)      

Email       Fax      

Affiliated with this cooperative or credit union      

Nominee’s Acceptance

I have read the information contained in this nomination package and certify it to be true and correct. I allow my name to stand for nomination. If my nomination is successful, I consent to the publication of my photograph, information from my nomination package and any audio/video recording used in conjunction with this event.

Nominee Signature Date      
Nominating Cooperative or Credit Union      

Authorized Officer       Position      

Address      

Phone (home)       Phone (business)      

Email       Fax      

Nominator Information

I, the undersigned, take pleasure in making this nomination on behalf of the cooperative or credit union I represent, and believe the information provided is complete and correct.

Nominator Signature Date      

Supporting documents (e.g. letters of support) may be attached to these sheets.



If additional space is required, additional pages may be attached to this nomination, but please provide additional information in the same format as the form. Information should be provided in point form wherever possible with dates and years of service in various positions provided.

A. Cooperative Organization Contributions

1. Contribution through Membership Support

Please list the names and dates of all the cooperatives in which the nominee has held a direct membership:




Organization

Dates –

Number of years

For Office Use Only

For example: Red River Credit Union

1980 – present

29 years




     


     




     


     




     


     




     


     




     

     






2. Contributions Through Volunteer and/or Employee Positions

Please list all the positions held within cooperatives and/or credit unions at the local, regional and national level. Volunteer Positions include: delegate, board member, executive officer, and president. Employee positions include: employee, head – area/department, trained specialist/consultant, and manager/CEO. Please note if the nominee was a founding/charter member of a cooperative or credit union.




Cooperative Organization

Position Held

Dates –

Number of years

For Office Use Only




Local Level Involvement

For example: Winnipeg Co-op

Director

Vice-President

1981-95  14 yrs

1984-87  3 yrs



     

     

     



     

     

     



     

     

     



     


     

     




     

     

     






Regional Level Involvement

For example: Federated Cooperatives Limited

Delegate

Resolutions Committee

2000-05  5 yrs

2004-05  2 yrs



     

     

     



     

     

     



     

     

     





     

     

     



     

     

     





Cooperative Organization

Position Held

Dates –

Number of years

For Office Use Only




National/International Level Involvement

For example: Canadian Cooperative Association

Delegate

1980-1988  8 yrs

2000-2006  6 yrs



     


     

     




     

     

     



     

     

     



     

     

     



     

     

     



3. Successfully Implemented Contributions

Please list the most significant contributions the nominee made to help build, maintain or improve a cooperative organization or the cooperative community. What roles did the nominee play and what outcomes resulted?



Significant Contributions to a Cooperative Organization

Role of Nominee

Outcomes for the Organization & Community

For Office Use Only




Local Level Involvement

For example: Opened a new co-op grocery branch

Participant on Board while approving expansion plans

Increased sales by $2 million

10 new jobs in the community

300 new co-op members

A

B

C

     


     

     










     


     

     










     


     

     










     


     

     










     


     

     










     


     

     













Regional Level Involvement

For example: Formed a co-op (or federation/association) of communication co-ops)

Introduced the idea and was the primary leader

Created purchasing power for all communications co-ops

Increased government relations for the sector

A

B

C

     

     

     







     

     

     







     

     

     







     

     

     







     

     

     







Significant Contributions to a Cooperative Organization

Role of Nominee

Outcomes for the Organization & Community

For Office Use Only







National/International Level Involvement

For example: Implemented new governance model for Canadian Worker Cooperative Federation (CWCF)

Introduced idea while on the Board of CWCF

Better delegate structure allowing more regional representation

Increased participation from members


A


B


C

     


     

     










     

     

     







     

     

     







     

     

     







     

     

     







B. Other Community or Volunteer Contributions

Provide details that demonstrate the nominee’s support for community and involvement in volunteer service. Include the number of years of service and the contributions made for each community organization listed.



Organization

Roles/Contributions

Years of Service

For Office Use Only

For example: Winnipeg Chamber of Commerce

Member

On the Board of Directors

40 years

4 years




     


     

     




     

     

     



     

     

     



     

     

     



     

     

     



     

     

     



     

     

     



     

     

     



     

     

     



     

     

     



     

     

     



Cooperative Achievement Award Nomination

New Cooperative or Credit Union Venture(s)

In point form, provide details of innovative projects or business initiatives that demonstrated increased leadership and renewed commitment to cooperative values, principles or the co-op model. Highlight the improved social and economic benefits to members and explain how this has been of significant benefit or value to the community.



Innovative Project or Business Initiative

Benefits to members

Value to the Community

For Office Use Only

For example: 3 different established worker co-ops implementing a joint marketing plan that included the promotion of what a co-op is and what makes a co-op different from other businesses, illustrating the cooperative principle cooperation amongst cooperatives

Members of the various worker co-ops have the opportunity to work together and pool resources

Increased sales, therefore increased return to members

Increased marketing resulted in more awareness within the community of what a co-op is and the benefits of using a co-op





     


     

     




     

     

     



     

     

     



     

     

     



     

     

     



     

     

     



     

     

     




Outstanding Achievements

Provide details or examples that demonstrate your cooperative or credit union’s achievements. Highlight how your cooperative or credit union created and implemented solutions that improved benefits to members, the community or the sector.



Achievement

What was done to achieve this?

Benefits to members, community or sector

For Office Use Only

For example: The co-op was listed number 49 in the top 50 employers in Manitoba

The co-op developed an employee incentive program.

The co-op held retreats for employees to build morale.

The co-op allowed staff to volunteer in community organizations for a day without having to take a vacation day.

A more productive workforce resulted higher member satisfaction.

Increased involvement of co-op staff members as volunteers in the community.





     


     

     




     

     

     



     

     

     



     

     

     



     

     

     



     

     

     



     

     

     




Community Involvement

List activities that demonstrate your cooperative or credit union’s support for community. Highlight how a community need was met and the impact this had on the community.




Activity

Impact on the Community

For Office Use Only

For example: The co-op promotes the Cooperative Youth (CY) Leadership Program and sponsors students from the local school to attend the CY Seminars

Provided an opportunity for youth to participate in a worthwhile program

Increased community awareness about co-ops




     


     




     

     



     

     



     

     



     

     



     

     



     

     



     

     



     

     



     

     



     

     





Additional Comments

For Office Use Only

     





     



     



     



     



     



     



     



     



Youth Leadership Award Nomination

Youth Contributions (for individual youth nominees)

In point form, briefly describe the contributions of the nominee that had significant impact on building, maintaining or improving a successful cooperative and the impact of that cooperative in the community.



Contribution

Impact on the Cooperative

Impact on the Community

For Office Use Only

For example: Was a founding member of XYZ co-op

The co-op would not have been created without this individuals leadership

XYZ co-op is the only organization in the community providing their service.



     

     

     



     

     

     



     

     

     



     

     

     



     

     

     



     

     

     



     

     

     



     

     

     




Youth Mentorship Contributions (for non-youth nominees and/or organization nominees)

List the contributions of the nominee that have engaged, supported and mentored youth in their success as young cooperative leaders.




Contribution

How the contribution engaged, supported and mentored youth

For Office Use Only

For example: A credit union creates an in-school branch for students

Encouraged students to become members at a young age

Had students sit on the Board of Directors of the credit union



Had students employed in the branch



     

     



     

     



     

     



     

     



     

     



     

     



     

     



     

     



     

     



     

     





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