I, the undersigned, hereby nominate ___________________________________________________for consideration by the Council of the Association of Professional Engineers, Geologists and Geophysicists of Alberta (APEGGA) for the ______________________________ Award.

My nomination, to the best of my knowledge, meets the criteria. The professional member nominated is a member in good standing with APEGGA and I testify that the member displays good character and high ethical standards.

To the best of my knowledge, all supporting evidence attached to this nomination is correct.
Nominated for:
THE CENTENNIAL LEADERSHIP AWARD
THE COMMUNITY SERVICE AWARD
THE L.C. CHARLESWORTH AWARD
THE FRANK SPRAGINS TECHNICAL AWARD
HONORARY MEMBERSHIP AWARD
HONORARY LIFE MEMBERSHIP AWARD
THE ENVIRONMENTAL EXCELLENCE AWARD
THE EARLY ACCOMPLISHMENT AWARD
THE EXCELLENCE IN EDUCATION AWARD
THE ALBERTA INGENUITY FUND RESEARCH EXCELLENCE AWARD


NOMINEE PROFILE
Name  
Resident Address  
Resident Phone  
Business Address  
Business Phone  
Present Occupation/Responsibility/Title  
Other Honours and Distinctions (APEGGA or otherwise)  
Paper/Meritorious Work  
University Degree(s)  

 

NOMINATOR PROFILE

(The first signed nominator will be considered to be the contact person for the APEGGA Honours and Awards Committee and must sign the sheet. Your name and signature signifies that you endorse the nomination.)
     
Name/Designation  
Occupation  
Address  
Business Phone  
Residence Phone  
Signature   _____________________________________


2ND NOMINATOR
     
Name/Designation  
Phone  
Signature   _____________________________________


3RD NOMINATOR
     
Name/Designation  
Phone  
Signature   _____________________________________

Back to Nomination Forms