Nomination Form

Nomination Form

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Please complete the below form to nominate a deserving Marine Institute alumni for a MI Alumni Award.

The nomination period for the 2023 award will close on May 15. Nominations received after May 15, 2023, will be considered for the 2024 awarding.

Required Field

Nominator's Contact Information
Name:
Email Address:
Confirm Email:
Phone (Home):
Phone (Business):
Is this a self-nomination? Yes No
Relationship with Nominee:
Nominee's Contact Information
Name:
Email Address:
Confirm Email:
Phone (Home):

Diploma/Degree from Fisheries and Marine Institute of Memorial University of Newfoundland:
Year(s) of graduation:
Other Academic degrees, honors and distinctions:
Current work position/occupation:
Explain in detail the nominee's exceptional accomplishments in both their professional achievements and/or service to society?(1000 word limit)
And why are the nominee's accomplishments considered exceptional?(1000 word limit)
How does the nominee inspire others with the values and ethics that guide their life and career?(1000 word limit)
Describe how the nominee is involved with the Fisheries and Marine Institute of Memorial University of Newfoundland and how the nominee contributes to the community at large?(1000 word limit)
Optional: Nomination packages can include up to four letters of support. Upload letters of support (maximum length per letter 1000 words). Letters accepted in DOC, DOCX and PDF format. Other additional documentation will not be accepted by the selection committee. To add files, click the "Browse" button. In the window this opens select ALL the fields you wish to upload and click the "Open" button.
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Fisheries and Marine Institute of Memorial University of Newfoundland

Nomination Form

Nominator's Contact Information

Nominee's Contact Information

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