The 13th Annual Sage Awards Nomination Form
Please complete all required questions below and click the submit button. Please note: this form cannot be saved, you will receive a confirmation of receipt upon submission.
For more information about the Sage Awards, and alternative methods of submitting nominations, please go to https://www.mysage.ca/events/awards or contact Emily Weisbrot at eweisbrot@mysage.ca or 780-701-9010.

Nomination Deadline: February 28th 2019
Sage Awards: 4:00 p.m. on June 6th

Who are you nominating?
This can be an individual, a couple, or a group.
First and Last Name(s) *
Your answer
Age(s) *
Your answer
Full Addess(es) *
Your answer
Phone Numbers (day and evening) *
Your answer
Nominator Contact Information
First and Last name *
Your answer
Organization name (if applicable) *
Your answer
Full Address *
Your answer
Phone numbers (day and evening) *
Your answer
Email address *
Your answer
Nomination Details
Please take some time to describe why your nominee deserves to be recognized. When answering the next five questions, please remember that the Sage Awards are given in acknowledgement of achievements and contributions made after the age of 60.
Please select the ONE category that best fits your nominee. *
What about this person has inspired you to nominate them for a Sage Award? (max words: 250) *
Your answer
Why have you nominated them for this category? (max words: 100) *
Your answer
Can you provide a particularly profound example of their work? (max words: 100) *
Your answer
Is there anything else you would like us to know about your nominee? (max words: 250)
Your answer
If required, you may send ONE additional attachment ( eg. testimonies, letters of support, article) to eweisbrot@mysage.ca.
The consent of your nominee is REQUIRED to nominate them. By checking this box you are stating that the nominee has given permission for the enclosed information to be used by Sage and has indicated their ability to participate in the event and the promotional media surrounding the celebration. Sage adheres to all of Canada's privacy laws, and all confidential information is handled sensitively. Do you have the consent of your nominee? *
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