Captain Oscar G. Pinto Seafarer Welfare Excellence Award Application

Application form – Deadline 30 September 2026

Nominee Information

Tell us about your nominee for the Capt. Oscar G. Pinto Seafarer Excellence AwardAn OrganizationAn IndividualA TeamOther

Name of Nominee

About the nomineeeg. job title, organization, primary location

Nominator Information

Nominator Full Name

Your organization

Your role/title

Email Address

Phone

What is your relationship to the nominee?eg. seafarer served, colleague, manager, port partner, chaplain/welfare worker, agency, union, NGO

Time period covered by this nominationstart date – end date or “on going”

Where did the support primarily occur?onboard, seafarer centre, hospital, agency office, remote/online, or other

Seafarer welfare needs addressed

Which welfare areas did the nominee supportSelect all that applyMental health, well-being or suicide preventionAccess to medical care (routine or emergency)Fatigue management / safe hours / restShore leave access / transport to townConnectivity (SIM cards, Wi-Fi access, phone calls)Provision of essentials (food, clothing, toiletries, PPE)Financial hardship support / wage issues / abandonment supportLegal / administrative support (visas, documents, contracts)Pastoral / spiritual care and community connectionFamily support / crisis communication / bereavement supportSafety from bullying, harassment, or discriminationTraining, information, or rights awareness for seafarersOther (please specify)

Details on the outstanding support

Summarize why this nominee deserves recognition for seafarer welfare support

Indicate who and/or how many benefited and what changed as a result

Was the impact sustained?any follow-up actions, long-term improvements or policies/practices changed

Supporting information

What can you provide to support the nominationseg. letters/emails of thanks, photos, policy changes, testimonials

Describe how the nominee acted with integrity and cultural sensitivities and safeguard risks?

Please provide two endorsers or references who can verify this nomination

May we contact the references provided?YesNo

May we contact the nominee?YesNo

Declaration

Complete the following declarationI confirm that the information provided is accurate to the best of my knowledgeI confirm that any seafarer personal information included has been shared with appropriate permission and/or has been anonymizedI understand the nomination my be reviewed by a selection panel and information may be verified

Nominator signature

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Date

International Sailors' Society Canada