Legacy Chapter Award Submission

Learn more about the legacy awards and application requirements

Saskatchewan

Newfoundland & Labrador

Award application

"*" indicates required fields

Award Selection*

Please select the award application

Is this a self-submission or are you nominating someone else?*

I am nominating myself for this award.

I am nominating someone else.

Nominator

Nominator First Name*

Last name*

Nominee Information

The person that will receive the award should they be successful

Nominee first name*

Nominee last name*

Nominee Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Nominee phone number*

Nominee email address*

Kathy Marcotte Award

Specify why you feel the nominee deserves an award*

500 character limit

Georgina Williams Memorial Legacy Award

Name of post-secondary institution*

Program title*

Program start date*

Confirmation of acceptance into a full-time program*

Accepted file types: jpg, pdf, Max. file size: 5 MB.

Formats accepted: .pdf or .jpg

Student ID (if applicable)

Professional profile photo*

Please attach a professional profile photo (.JPG file)

Max. file size: 999 MB.

500-word essay*

The essay must not contain any identifying information and must be uploaded in a .pdf format. Please answer the following questions in your essay submission: 1. What does having community spirit mean to you? 2. How do you get involved in your community? 3. How has your community involvement made an impact?

Accepted file types: pdf, Max. file size: 999 MB.

Two letters of reference*

Please upload two signed letters of reference from a teacher, principal, employer, mentor, or tutor. Files must be in .pdf format.

Drop files here or

Accepted file types: pdf, Max. file size: 3 MB.

Parent or legal guardian information

First name

Last name

Phone number

Email address

CHIMA member ID

Does your parent/guardian belong to the CHIMA NL chapter?*

Yes

Georgina Williams Memorial Professional Member Award

Current photo of applicant*

Accepted file types: jpg, png, Max. file size: 999 MB.

Please upload a current high-quality photo of yourself.