Career Development Awards of Excellence Nomination Form
This is your opportunity to acknowledge and celebrate the excellence and leadership qualities of career practitioners and researchers in Manitoba’s Career Development sector. The awards will be presented at Manitoba’s 6th Annual Career Development Conference November 8, 2019 at the Victoria Inn, Winnipeg.

Nomination deadline is Friday, August 16th.

Note on using the form:
This form saves your responses only after you click the Submit button at the end of Section 4, which is the last page of the form. After submitting you will receive an automatic email receipt, from where you can go back to the saved form later and edit your responses if you wish (but not after the deadline!).

Do not leave the form by closing the browser tab or web page without clicking Submit!

Email Address *
Your answer
1. Tell us about yourself
First Name
Your answer
Last Name
Your answer
Title
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Company Name
Your answer
Street Address
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Apt/Suite/Office
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City
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Province
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Postal Code
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Email Address
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Phone Number
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How do you prefer to be contacted?
2. Tell us about your nominee
Are you nominating an individual or an organization?
First Name / Last Name or Organization Name *
Your answer
Title
Your answer
Company Name
Your answer
Email Address *
Your answer
City
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Phone Number *
Your answer
What category or categories do you believe they should be nominated in? (Please provide all categories). *
Is the nominee aware that they being nominated? (All nominees must agree to be nominated). *
What is your relationship to the nominee?
Your answer
Provide a short overview of what the nominee(s) has/have done to make them deserving of a nomination.
Your answer
3. Nomination Statement
How has this individual or organization demonstrated leadership in the respective category or categories below? Provide detailed examples and explanations under each category.
The advancement of career development through research, theory, practice or leadership
Your answer
Innovation and creativity in program development or service delivery role-modeling
Your answer
Leadership and vision within the organization and/or career development community
Your answer
Ongoing professional development and learning
Your answer
Ongoing professional development and learning
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Representing the optimal model of a caring person and professional whose knowledge, skills, and talents are valued by clients and colleagues
Your answer
What has inspired you to nominate this leader for recognition?
Your answer
Now please submit your Nomination. Thank you for your contribution!
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