Award Nomination Form
Award Nomination Form
Award Nomination Form
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<strong>Award</strong> <strong>Nomination</strong> <strong>Form</strong>This information will be kept confidential. Only the awards committee and membersof the office staff will access it. Please fax your completed form to 1-866-522-2742(or in the Victoria area to 480-2742), or mail it to: CCGA-P, 25 Huron Street,Victoria, BC V8V 4V9. The deadline for award nominations is January 19, 2007.Your name:Your unit:__________________________________________________________Nominee name: ____________________________Nominee unit: ____________________________<strong>Award</strong> Name (please select one): Blue Spirit <strong>Award</strong> Certificate of Appreciation Certificate of Commendation Certificate of Merit Gerry Moka <strong>Award</strong> Honorary Membership <strong>Award</strong> John McLean <strong>Award</strong> Lifetime Membership <strong>Award</strong> Lindsay Halliday <strong>Award</strong> Roger Wishart <strong>Award</strong> Tolonen <strong>Award</strong>Reason for <strong>Nomination</strong> (1-2 sentences):
Biography of Nominee (as it relates to the award - 1-2 paragraphs):Date: __________________________
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