Please fill out the web form below and download the Nomination Checklist and Nominee Declaration (pdf).

Nomination Category

Please indicate the award for the which you are nominating a candidate:

 
     
Nominator Information

First Name (required)

 

Last Name (required)

 

Phone (required)

 

Address (required)

  

City/Province (required)

 

Postal Code (required)

 

E-mail (required)

 

Relationship to Nominee (required)

 

Date (required)

   [None] Select a Date Delete the Date
Nominee Information

First Name (required)

 

Last Name (required)

 

Phone (required)

 

Address (required)

  

City/Province (required)

 

Postal Code (required)

 

E-mail (required)

 

Capilano College/University credentials (required)

 

Additional credentials (if applicable) 

 

Position 

 

Organization