Carol Aubee-Girard Award of Excellence in Community Adult Learning

Nomination FormPlease ensure the information is readable and easily understood by the Review Panel.

Nominee InformationName: Mailing Address:

Phone Number:

Email Address:

Declaration

I, ___________ agree to be nominated for the Carol Aubee-Girard award of Excellence. I agree to the

use of the Nominee information in the Nomination Form (except address and phone number and email),

and pictures being shared with the Review Panel, through social media and during the AGM Award

presentation.

_________________________________________

Signature of Nominee

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Nominator InformationName: Mailing Address:

Phone Number:

Email Address:

Declaration

I, ___________ to the use of Nominator information in the Nomination Form (except address and phone

number and email), and pictures being shared with the Review Panel, through social media and during

the AGM Award presentation.

_________________________________________Signature of Nominator

Send Nomination on or before August 23, 2019 to:

Debbie Clark, Executive Director#103 4207-98 Street NW or ed@ecala.org Edmonton, Alberta T6E 5R7 with CAG Award of Excellence in the subject line

Review the criteria for the award and attach up to three pages of information supporting your

nomination using Microsoft Word. If you have questions regarding the award call Debbie Clark at 587-

990-0762.

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