Application / Nomination Form

Please choose the relevant award(s) from the list below. You are welcome to apply yourself or to nominate a single individual for multiple awards using this single form.

To nominate multiple individuals, please submit multiple forms.

NOTE: Nominate community partners by emailing

Fields with * are required.

Select Award(s)

Please tell us in a few words or a few sentences why this person should be considered for the award(s) you selected above.

May we share your statement with the nominee?
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