Global Citizen Award 2018 Nomination Form
Deadline for nominations: Tuesday, November 28, 2017

Thank you for submitting a nomination for SCIC's Global Citizen Award. These special awards recognize Saskatchewan people who make amazing contributions to international development, cooperation, peace and justice.

This award is presented annually during International Development Week, which takes place during the first full week of February (this year February 4-10, 2018). The Global Citizen Award was first presented in 1991 and over 100 people and organizations have been recognized over the past 27 years.

Please fill out this form to start the nomination process. You may also want to email or fax supporting letters of reference or media links or clippings to support your nomination. Those can be emailed to scic@earthbeat.sk.ca, please include your nominee's name and “Global Citizen” in the subject. SCIC’s fax number is (306)757-3226.

Please note: People sharing a nomination (i.e. a group or couple) will receive one, collective award. If you want your candidates to receive individual awards, make sure you nominate them individually!

Also note: both nominators and award winners will be asked to give remarks at the Global Citizens Gala during the first full week of February. After the nomination deadline, all the nominations will go onto a committee for consideration. Contact
SCIC at (306)757-4669 for more information.

Contact Information
Nominee's Name *
Your answer
Nominee's Email or Phone Number *
Your answer
Nominee's Address in Saskatchewan
Your answer
Is the Nominee aware of their nomination? *
Is the Nominee aged 35 & under? *
This information will only be used in order to consider the nominee for a youth award
Nominator's Name *
Your answer
Nominator's Email Address *
Your answer
Nominator's Phone Number *
Your answer
Second Nominator's Name
Your answer
Eligibility: Does the nominee meet the following criteria?
If all of the criteria are not met, someone from SCIC will follow up with you for more information. We encourage you to read through the resources and documents referenced below, as they are the guiding documents used for determining the nominee's eligibility for the Global Citizen Award.
Is the nominee is a resident of Saskatchewan or has a strong connection to this province? *
Is the international development and/or education work undertaken by the nominee *non-proselytizing, as reflected in SCIC's bylaws? (http://bit.ly/SCICBylaws2016) *
*Recognized global standards clearly state that agencies may not condition the receipt of assistance or participation in their work on any requirement that people listen and respond to a message intended to induce people to join a religious movement, political party, or other cause of organization.
Does the international development and/or education work undertaken by the nominee adhere to SCIC's Statement of Development Principles? (http://earthbeat.sk.ca/about-scic/mission/) *
Is there anything else we should know about the nominee's eligibility?
Your answer
Nominee's Contributions
Please be detailed, specific, and provide supporting documentation where informative.
Please outline the nominee's achievements in the areas of international development, global cooperation, justice and peace: *
Describe why you think the nominee deserves to receive the Global Citizen Award:
Your answer
Will you be emailing or faxing in supporting information or documents? *
Email: scic@earthbeat.sk.ca, Fax: 306-757-3226, mail: 2138 McIntyre Street, Regina, SK S4P 2R7
Does the nominee address their work through any of the following approaches?
Select all that apply
Does the nominee's efforts or accomplishments focus on any of the following areas?
Select all that apply
Anything else to add?
Your answer
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