Telfer Alumni Award Nomination Form

Trudeau Medal

Young Achiever’s Award

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Age of nominee as of June 15 (must be under 40 *applicable to Young Achiever's award award nomination only)

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Information on the award nominee

Name*

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Position*

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Company / Organization*

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Address*

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City*

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Province*

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Postal Code*

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Telephone*

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Email*

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Telfer School Degrees*

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Reasons for nominating (letter of support)*

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Specific Criteria

The Telfer School of Management alumni awards are given to alumni in recognition of their outstanding contributions to the world of business and/or healthcare, their communities and their alma mater. Please provide some highlights for the following criteria:

Accomplishments (job responsibilities, special projects, business-related affiliations)*

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Civic Leadership (community involvement)*

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Achievements, Awards, and Special Recognitions*

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Please explain how the award nominee has been involved with the Telfer School of Management and the University of Ottawa over the years.*

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Attach nominee’s résumé*

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