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Board of Governors’ Awards of Distinction – Distinguished Alumni AwardPlease complete this form and email it to [email protected], along with the scanned signature page. The deadline each year is the second Friday in February. Inquiries regarding the awards may be directed to the Office of the Board of Governors at 705.728.1968, ext. 1252.
Purpose: To recognize graduates who have made a significant contribution in their field.
Eligibility: Made significant contributions in their field while serving as a college ambassador; one or more awards may be presented each year.
Submission guidelines: Please include key information that will enable the Recognition Committee to distinguish your nomination from others. Do not alter this form in any way.
This nomination package must be supported by three individuals: 1) The lead nominator 2) An individual from within and/or outside the same academic area/department 3) An individual from another academic area/department
Nomination form
Name of nominee: include name of current employer and role, if possible
Contact information: include email and phone number
Name and area/department of lead nominator:
Names and areas/departments of 2 co-nominators:
Quote or testimonial on why you’re nominating this person: 3 to 4 lines
Please provide a brief description (max. 150 words) of the nominee’s contributions in each of the following areas. If you exceed word count, your nomination may be disqualified. Bullet points are acceptable.
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The Recognition Committee will evaluate each section out of 5 – fully met (5), partially met (3) or unmet (1). They will use these scores to help rank submissions in this award category.
Made a significant contribution in their chosen field
/5
Demonstrated commitment to the values of the college
/5
2
Serves as a college ambassador
/5
Demonstrated commitment to learning; may include their own postsecondary pursuits or examples of how they are ambassadors of learning
/5
TOTAL /20
Additional background information to support the nomination, if relevant
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FREEDOM OF INFORMATION AND PROTECTION OF PRIVACY ACT
NOTIFICATION REGARDING THE COLLECTION OF PERSONAL INFORMATIONThe personal information in this form is being collected under the authority of the Ontario Colleges of Applied Arts and Technology Act, 2002, and is compliant with the Freedom of Information and Protection of Privacy Act, 1990. The personal information is being collected for the purpose of administering and advertising this award. Information that you are providing about yourself, co-nominators and the nominee may be disclosed to the nominee, regardless of whether or not the nominee is selected for the award competition process.
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