Nomination Form | Aboriginal Youth Achievement and Recognition Awards

Nominating person/organization: *

Who are you?

Section I: Nominator and Nominee Contact Information

Address: *

What is your contact information? Please include city/town and postal code.

Phone: *

Where can we reach you?

Nominee name: *

Who are you nominating?

Nominee address: *

Contact information. Please include city/town and postal code

Nominee phone: *

Where can we get a hold of them?

Section II: Award Category for which the Individual is Nominated

Any
individual nominated for more than one category must submit a separate
nomination form and biography for each nomination

For
the group category, each individual must fill out and sign a separate
nomination form and they must be submitted together

Youth Achievement Award Categories:

Pick which category you would like to enter your nominee

Recognition Award Categories:

Select an award

Section III: Required Components for the Nomination

Please provide the following documents in a separate email to facilitator@yesjobsnow.com

fax to (807) 622-5649 or mail to:

Northwestern Ontario Aboriginal Youth Achievement and Recognition Awards

1116 Waterford Street - Suite 271 Thunder Bay, ON P7B 4A3

For further information please contact Sharon at 807-624-1972

letter of nomination from the Nominating Person/Organization that includes a summary of the accomplishments of the Nominee;

personal biography (to be completed by the Nominee);

one letter of support.

Optional: supporting documentation, such as newspaper articles transcripts or samples of work may also be submitted. Please do not send original copies.

Section IV: Nominee’s Consent to the Nomination

I certify that all information on documents submitted with this application is true and correct to the best of my knowledge. I understand that if I am a recipient of an award, my picture and biographical information may be used by the Ontario Aboriginal Youth Achievement & Recognition Awards for promotional and/or publicity purposes only.

Signature: *

By adding your name here, you agree to the above terms

Date: *

Today's date

Press submit below and the form will be sent to Sharon Smith-Baxter and committee for review. Thank you for your submission!