CAMRT-BC Awards Nomination Form

Your Name (nominator):

(Must be a CAMRT-BC Member)

Name *

Position

Your Email *

Telephone

How Long have you known/worked with the nominee?

What is your work relationship to the nominee?

Nominee Information:

Nominee's full name *

Place of Employment

Position

Telephone

Award Category: Select one only (*Please note: awards may only be received once for each category. See the list of previous recipients before submitting the nomination).

Innovative Leadership

Young Professional

Excellence in Teaching

Research

Award of Excellence – RTR

Award of Excellence – RTNM

Award of Excellence – RTMR

Award of Excellence – RTT

WQ Stirling Award

Statement of Support (500 words maximum).

Describe why you believe this nominee deserves the award. Provide examples pertinent to the criteria of the award. Also include description of educational and work history.

Supporting documents (OPTIONAL). Might include reference letters (maximum 2); resume, certificates of achievement, examples of project work, publications, etc.

Attachment

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