• FONT SIZE

Life Achievement Award Nomination Form

Nominators may include a one-page letter of introduction providing a summary of how long they have known the nominee and why they believe they are a worthy nominee, a copy of the nominee’s curriculum vitae (if available), a maximum of two additional letters of support (one-page each), as well as any materials that would provide additional insight into the nominee’s accomplishments (photos, press articles or published information).

Deadline for submissions is Friday, March 29, 2019 at 5 pm. Complete submissions must be received no later than the deadline. Late or incomplete entries will not be considered.

 

Nominee Information

Name (required)

Class (required)

Address

City

Postal Code

Phone

Email (required)

Nominator Information

Name (required)

Class (required)

Address

City

Postal Code

Phone (required)

Email (required)

Nomination Criteria Questions

1. Does her life's work reflect a commitment to volunteerism and/or to professional work, and if so, what is the breadth of that work? (150 words maximum)

2. In which period of history has she lived, and how has this had an impact on her achievements? (150 words maximum)

3. Has she demonstrated dedication and achievement in her life’s work and in her community? (150 words maximum)

4. Has she demonstrated a vision encompassing a "bigger/broader" world than her own (ie: geographic, cultural, or socio-economic)? (150 words maximum)

5. Is it clear how she has "made a difference"? (150 words maximum)

6. Has she received recognition? (150 words maximum)

7. Has she made a contribution to the expanding role of women? (150 words maximum)

Attachments

Curriculum Vitae

Letter(s) of Support

Additional Material