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Nomination Form

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  • Nomination Form



Nominations for 2024 are now open!

The nomination process is an open one: that is anyone may nominate a candidate, and candidates may nominate themselves, using the form below. Please fill out all fields and click submit once finished. Or download a printable version of the form here, fill out and send to maria.neilson@ansamcal.com. 

Since the Awards recognize a body of work and support future endeavours, candidates are generally between the ages of 35 and 55. Please consider this when making your nomination.

You may review the awards categories here.

Please note that upon clicking the ‘Submit’ button, a green bar should appear to indicate that your nomination has been received.
Should an orange/red bar pop up, please scroll up to look for fields that may require more information. Then resubmit your form.

    Nomination Form

    AWARD CATEGORY (Select one)

    CANDIDATE’S NAME AND PERSONAL INFORMATION


    CANDIDATE CONTACT INFORMATION


    References

    Any endorser should be able to substantiate the candidate’s contributions by providing explicit
    detail from personal knowledge




    (First, give a synopsis in the box below, then copy and paste a detailed resume under the synopsis)

    (Track record of significant accomplishments, awards, recognition of work, standing in their field)

    (Considering their track record and current interests, what professional goal is the candidate likely to achieve/pursue in the next 3-5 years?)

    The following four questions apply to Entrepreneurship candidates only. Please submit now if you are applying for any other category.

    for Entrepreneurial Category only

    Please note that upon clicking the ‘Submit’ button, a green bar should appear to indicate that your nomination has been received.
    Should an orange/red bar pop up, please scroll up to look for fields that may require more information. Then resubmit your form.

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