Whom would you like to nominate? (Please complete as many fields as possible. Fields marked with * are required.) First name Last name Address City/Town Province/State Postal/Zip code Country Email address Phone number Company Job title/Occupation Why should the nominee receive a St. Paul’s Distinguished Alumni Award? Achieved notable success in their profession or field of study Made significant contributions to society through their leadership, volunteer service and/or philanthropic endeavours Made significant contributions to St. Paul’s University College and/or the University of Waterloo through their leadership, volunteer service or philanthropic endeavours Demonstrated dedication and leadership in one of the following categories: Environment, Aboriginal issues, Social justice/human rights, Youth mentorship, Church leadership Other... Enter other… Briefly explain how they have achieved this How do you know the nominee? Friend Colleague Family Lived or studied together at the University of Waterloo Myself Other... Enter other… Please tell us a little about yourself in case we need to follow up: (Information provided here will only be used to contact you regarding the St. Paul’s Distinguished Alumni Award) Your first name Your last name Your address Your city/town Your province/state Your postal/zip code Your country Your email address Your phone number Best time to contact you: If you are a graduate of the University of Waterloo, please indicate your faculty and grad year Were you a resident of St. Paul’s? Yes No Leave this field blank
Whom would you like to nominate? (Please complete as many fields as possible. Fields marked with * are required.) First name Last name Address City/Town Province/State Postal/Zip code Country Email address Phone number Company Job title/Occupation Why should the nominee receive a St. Paul’s Distinguished Alumni Award? Achieved notable success in their profession or field of study Made significant contributions to society through their leadership, volunteer service and/or philanthropic endeavours Made significant contributions to St. Paul’s University College and/or the University of Waterloo through their leadership, volunteer service or philanthropic endeavours Demonstrated dedication and leadership in one of the following categories: Environment, Aboriginal issues, Social justice/human rights, Youth mentorship, Church leadership Other... Enter other… Briefly explain how they have achieved this How do you know the nominee? Friend Colleague Family Lived or studied together at the University of Waterloo Myself Other... Enter other… Please tell us a little about yourself in case we need to follow up: (Information provided here will only be used to contact you regarding the St. Paul’s Distinguished Alumni Award) Your first name Your last name Your address Your city/town Your province/state Your postal/zip code Your country Your email address Your phone number Best time to contact you: If you are a graduate of the University of Waterloo, please indicate your faculty and grad year Were you a resident of St. Paul’s? Yes No Leave this field blank