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Nomination Form

Before submitting your nomination, please ensure that :

Your membership (and that of your nominee) is up to date
You checked one of the three Award categories on the Nomination Form
The nominee’s name is spelled correctly
Your contact information is complete in case we need to reach you
You attach a letter of support describing why the person is being nominated
and how the nominee meets the Award eligibility criteria.

Awards of Excellence Nomination Form

Award Category
Select one Award category*
Award Nominee
Name*
First Last
Degrees
Address*
Street Address Address Line 2 City Province Postal Code
Home Phone*
Work Phone
Email*
Nominated by
Name*
First Last
Degrees
Address*
Street Address Address Line 2 City Province Postal Code
Home Phone*
Work Phone
Email*
Letter of Support
Please cut and paste your Letter of support here.*

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