Award – Lifetime Achievement – Nominiation

Victoria Lesbian Seniors Care Society – Rainbow Awards Program

Lifetime Acheivement Award

Nomination Form

Nominations for each year close on April 30.

To a social activist, defined as an individual whose involvement in social issues over a lifetime has demonstrated energetic work, participation, and involvement which has influenced constructive social change or outcomes.

Cite areas of measurable change or social influence.

Please complete the nomination form with as much detail as possible as nominees will be scored on how well your submission matches the above criteria. You can nominate as many people/organizations as you like. All information provided by you is private, except where you give authorization for release. For more information feel free to contact VLSCS at awards @

For the VLSCS Lifetime Achievement Rainbow Award, I nominate:

Is this nominee aware and agreeable to this nomination?

For how long and in what capacity have you known this person/organization?

Why do you think this person/organization should be nominated for this award? Minimum of three detailed reasons required.

Other comments, information or questions.

Your Name (required)

Your Email (required)

Your Telephone Number

Do you wish to remain Anonymous?

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