LIFETIME CONTRIBUTION AWARD NOMINATION

Nominee Information

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Organization Name *

Job Title *

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Nominator information – If any

Name of Nominator

Organization Name

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Is the nominee aware of this nomination?

Yes

1 . Career Overview: Briefly describe the nominee's career trajectory, highlighting key positions held, major projects or initiatives, and significant milestones achieved.

2 . Contributions to the Field: What are the nominee's major contributions? Please describe specific achievements, innovations, discoveries, methodologies, or theories developed or advanced by the nominee.

3 . Impact and Influence: How has the nominee's work influenced the industry? Provide examples of the impact the contributions have had on research, practice, policy, or societal outcomes.

4 . Recognition and Awards: List any honors, awards, or recognitions received by the nominee throughout the career related to the contributions in the field.

5 . Leadership and Service: Describe the nominee's leadership within the profession or community. Include details of any leadership roles held, contributions to professional organizations, or service to the community.

6 . Mentorship and Education: Has the nominee been involved in mentoring others in their field? Describe the role in mentoring students, colleagues, or junior professionals, and the impact of the mentorship efforts.

7 . Ethical Standards and Integrity: How has the nominee demonstrated ethical standards and integrity in the professional career? Provide examples of the commitment to ethical conduct and the impact of ethical leadership.

8 . Future Impact and Legacy: What do you believe will be the nominee's lasting legacy in the field? How will the contributions continue to influence future generations of professionals, researchers, or practitioners?

9 . Additional Information: Is there any additional information or context that you believe is important for the awards committee to consider when evaluating this nomination?

10 . References: Please provide contact information for individuals who can provide additional insights into the nominee's contributions and impact (optional).

I hereby confirm that I am authorized to share the above information and that it is accurate to the best of my knowledge.

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LIFETIME CONTRIBUTION AWARD NOMINATION

Nominee Information

Nominator information – If any

Nominee Registration Fees (USD 500) : $500

Nominee Registration Fees (CAD 680) : $680