2017 Jean Lumb Awards - Application Form
This form is for applicants for the Jean Lumb Awards. If you are nominating a student, please fill out this form: https://goo.gl/forms/oY5eFAA0IN6Bel7N2

Application steps:
1 - Submit completed Application Form by midnight EST, Monday, May 22, 2017.
2 - Please send any attachments to jeanlumbawards@gmail.com from the same email address you filled in for this application. Use the email subject: "2017 Jean Lumb Awards" and include the award category name in your filename(s). e.g. "DignityOfLife_Resume.pdf"
3 - Ask your nominators to fill in the Nomination form by midnight EST, Monday, May 22, 2017.
4 - The Jean Lumb Awards selection committee will inform you of their decision by August 31, 2017.

Applicant Info
Email address
Your answer
First name
Your answer
Middle name
Your answer
Last name
Your answer
Chinese Name
Copy and paste Chinese characters here (e.g. from Google or https://goo.gl/wlAaGK)
Your answer
Gender
Address
Your answer
City
Your answer
Postal Code (ex: C1A 2C3)
Your answer
Phone (ex: 416-555-0190)
Your answer
Name of High School
Your answer
Grade
Which category are you applying for?
The Jean Lumb Awards have six awards categories, each valued at $1000. A separate application is required for each category.
Eligibility Criteria Check
I certify that I am of Chinese descent.
Required
I am a Canadian citizen or landed immigrant.
Required
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