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					                      BERNICE ADAMS MEMORIAL AWARDS
                           Nomination Form Guidelines

PURPOSE

Following the untimely death of former City Counselor Bernice Adams in 1980, the City of Cambridge
initiated a “Bernice Adams Memorial Fund” to recognize her contributions to the community. This program
has expanded to include several components as described below and form part of this information
package.

City Council appoints nine citizens as Trustees of the Bernice Adams Memorial Fund. A staff member from
the Community Services Department acts as a liaison to the Committee. The Committee meets on a
monthly basis administering the distribution of the funds through bursaries and scholarships. Funds
disbursed are derived from the interest earned from the Memorial Trust Fund and from committee
fundraising initiatives, corporate sponsorships, and donations from the private sector.

Contributions to the Memorial Trust Fund or the Annual Awards Night are gratefully appreciated. If you
are interested in supporting the development of Arts and Culture in the Cambridge community through
this program, contact the Accounting Coordinator for the City of Cambridge at 740-4681, ext. 4595.

The committee is also responsible for the Annual Bernice Adams Memorial Awards Night at which
members of the community are recognized for their outstanding contributions to the artistic and cultural
life of Cambridge.

SECTION A-AWARDS NOMINATION

Nominee
Clearly print the name of the individual, or a contact name for the group, being nominated for an award.
Be sure to complete all of the requested fields. Include the full name of the nominee or group being
nominated, as you would like it to appear on any printed material.

Nominator
Print clearly and provide complete information. Nominators may not remain anonymous and nomination
forms failing to provide the name of the nominator will not be considered.

SECTION B- AWARDS CATEGORIES

Categories
Trustees include in their scope of consideration, activities from the fields of Communications/Literary Arts,
Music, Performing Arts, Visual Arts, and Outstanding Youth. The committee may recognize a special
achievement on the part of individuals or groups.

Communications/Literary Arts
Communications/Literary Arts refers to the use of the written word or spoken word in prose or verse
(author, poet, playwright, critic), or visual presentation in one of the many vehicles of communications:
radio, television, newspaper, or other printed works.

Music
Music refers to instrumental and vocal. Included under this heading are songwriters, musicians, singers,
technicians, etc.

Performing Arts
Performing Arts refers to plays, musicals, dance or film. Included under this heading are the directors,
producers, performers, technicians, etc.

Visual Arts
Refers to art appreciation, drawing, painting, printmaking, fine crafts (such as clay, glass, textile, leather,
etc.), sculpture, puppetry, photography, graphic arts, etc.

Outstanding Youth
Refers to artists 18 years of age or younger who are deserving of recognition in one or more of the awards
categories acknowledged.
SECTION C- AWARDS ELIGIBILITY

To be eligible for a Bernice Adams Memorial Award individuals or groups, for a minimum of three (3) years
prior to the Memorial Awards Night, must have been:

    •   A resident of the City of Cambridge, or employed in the City of Cambridge
    •   An associated member or student of a relevant group or school in the City of Cambridge

The recognition is provided to groups or organizations, which provide services to Cambridge residents and
have been established in Cambridge for a minimum of three years prior to the recognition night.

SECTION D- AWARDS CRITERIA

The awards recipients will have made a significant contribution, in or for Cambridge, in at least two of
the following areas within their category. The contribution may be recognized during the past year or over
a number of years.

    •   In the field of education related to the category
    •   Used their talents as a volunteer for the benefit of others in the community
    •   Created personally or as a leader of a group, work which has received acclaim locally, provincially
        or nationally
    •   Responsible for major improvement or development related to the category

SECTION E- SPECIAL TRUSTEES AWARD

This Award is presented to an individual or group who, in the estimation of the Trustees, is deserving of recognition
in one or more of the awards categories.

The recipient(s) may:

    •   Have been nominated in more than one category. The value of this contribution may be equally
        important in two or more categories
    •   Have been selected because their contribution is heavily weighed in volunteer work where many
        are benefiting from the talent
    •   Have been selected because they are no longer active participants in their category because of
        age or retirement, but their influence is still felt in the community

AWARDS SELECTION PROCESS

Bernice Adams Memorial Awards
The committee looks forward to accepting nominations from the community. Nominators are encouraged
to provide as much information as possible. Those nominated will be contacted to confirm their
nomination and complete their profile. The selection committee meets each year in April to review the
submissions. Four finalists from each category are selected, one of which will be declared winner of a
Bernice Adams Memorial Award at the Annual Awards Night. All finalists will receive recognition. Only
those selected as a finalist will be notified.

Bernice Adams Special Trustees Award
Special Trustees Awards recipients are selected based on the information provided by their nominators.
Therefore, it is critical to provide as complete a profile as possible. The selection committee meets each
year in April to review the submissions. The Special Trustees Award is also presented at the Annual
Memorial Awards Night when appropriate, to provide special recognition to an individual or group. The
number of recipients in this category may vary from year to year and the maximum number in any year is
three (3). Recipients of the Special Trustees Award are notified in April.

AWARDS SUBMISSION DEADLINE

Additional nomination forms are available from the Community Services Department, Cambridge City Hall,
60 Dickson Street or from the Cambridge Centre for the Arts, located on 60 Dickson Street in Cambridge.

                 Deadline for Nominations is 3 pm on the last Friday in February.

Please send completed nomination forms to:
                                  Cambridge Centre for the Arts,
                                  C/O Recreation Coordinator
                                  60 Dickson Street Cambridge, ON N1R 8N1

If you have any questions regarding the Cultural Awards Committee or the Bernice Adams Memorial
Awards Program, please contact the Recreation Coordinator by calling (519) 740-4681, ext. 4565.
              Nancy Movrin
Recreation Coordinator, City of Cambridge
      Cambridge Centre for the Arts
60 Dickson Street, Cambridge ON N1R 8N1
          519.740.4681 x 4565
Please refer to the attached Guidelines for assistance in completing this application

SECTION A - AWARDS NOMINATION

 NOMINEE
 (Please write the name as you would like it to appear in any printed material)

Name:__________________________________________________________________________________

Group:__________________________________________________________________________________

Address:_________________________________________________________________________________

City:____________________________________ Postal Code:_____________________________________

Phone: Daytime:_______________________________Email: _______________________________________

        Evening:_______________________________

 NOMINATOR
Name:__________________________________________________________________________________

Address:________________________________________________________________________________

City:__________________________________________________Postal Code:________________________

Phone: Daytime:_______________________________Email: _______________________________________

        Evening:_______________________________


SECTION B - AWARDS CATEGORIES

 CATEGORIES          (Please circle only one for all nominations, with the exception of the Special Trustees Award).
                      The Committee reserves the right to move the nominee from one category to another.

       Visual Arts          Performing Arts             Music            Communications / Literary Arts

If you are submitting a nomination for a Special Trustees or Youth Award, please check ✓ below.
       ❏   Special Trustees Award          ❏   Outstanding Youth (18 Yrs or Under)

The committee looks forward to accepting nominations from the community. Nominators are
encouraged to provide as much information as possible. Those nominated will be contacted to
confirm their nomination and complete their profile. The selection committee does require a
reference contact to verify information submitted.
Please attach details of Nominee's contributions and accomplishments related to the criteria along with any
supporting documention with this nomination form.

SECTION C - AWARDS ELIGIBILITY

 CHECK AT LEAST ONE
❏   Resident of Cambridge                           ❏   Employed in Cambridge
❏   Member/student of relevant group/school         ❏   As a group or organization, provides services
    in Cambridge                                        to Cambridge
SECTION D - AWARDS CRITERIA

 OVERVIEW - CHECK AT LEAST TWO
 The contribution may be recognized during the past year or over a number of years.


❏  Contributed to the education of others in the areas of visual arts, performing arts, music or
communication/literary arts. Describe:
________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

Please provide a reference name and telephone number to verify the above information.

Name:____________________________Phone: Daytime:___________________Evening:__________________


❏  Volunteered for the benefit of the community in the areas of visual arts, performing arts, music or
communication/literary arts. Describe:
________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

Please provide a reference name and telephone number to verify the above information.

Name:____________________________Phone: Daytime:___________________Evening:__________________


❏  Received acclaim locally, provincially or nationally. Describe:
________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

Please provide a reference name and telephone number to verify the above information.

Name:____________________________Phone: Daytime:___________________Evening:__________________
❏  Was responsible for an innovation and/or development related to the category. Describe:
________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

Please provide a reference name and telephone number to verify the above information.

Name:____________________________Phone: Daytime:___________________Evening:__________________



SECTION E - SPECIAL TRUSTEES AWARD

   CRITERIA FOR SPECIAL TRUSTEES AWARD
This award is presented to an individual or group who in the estimation of the Trustees is deserving of
special recognition in addition to the recipients of the five categories mentioned previously.
The recipient(s) may:                         •      Have been selected because their contribution is equally significant in two or more categories.
                                              •      Have been selected because their contribution to the arts is heavily weighted in volunteer work,
                                                     where many benefit.
                                              •      Have been selected because they are no longer active participants in their category because of
                                                     age or retirement but their influence is still felt in the community.



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________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

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The personal information on this form is gathered under the authority outlined in the Municipal Freedom of Information and Protection of Privacy Act (28-2) and will be used for the purpose of processing the
nomination form and for distribution of future correspondence regarding the awards program. If you have any questions on the gathering of personal information you can contact the Freedom of Information
Co-ordinator who can be reached through the Public Access and Council Services Department at (519) 740-4680 ext. 4079.

				
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