Margaret-Teresa-McDonell Award Nomination Form

Margaret-Teresa-McDonell Award Nomination Form

The nomination should be no more than two pages. Please keep in mind that selection committee members hope to quickly assess the nomination’s relevancy. Submission deadline: June 13 2024.
Candidate's name

First nameLast Name
Position and Workplace

Position TitleWorkplace
Phone Number
Other Phone Number
Email
Nominator's Name

First NameLast Name
Nominator's Position and Workplace

PositionWorkplace
City
Name of city
Phone Number
Secondary Phone Number
Email
1. What is the contribution that justifies this nomination?*
Contribution description, the individuals affected and the nature of the notable work.
2. How does this nominee distinguish himself/herself in providing high quality French language services in the workplace?*
Examples of relevant approaches or interventions put into practice.
3. How is the nominee’s contribution innovative and creative?*
Description of the context in which the contributions came about.
4. How did the nominee’s contribution have a positive impact in the workplace and within the Francophone community in Manitoba?*
Description of the situation before, during and after the contribution was put into practice.
Letters of support (optional)

You may provide one or more letters of support from persons such as those working in a designated bilingual community organization, institution, program, department or agency in Manitoba. These can be uploaded and submitted with the nomination or sent in the mail or by email to the addresses indicated at the end of this form.
File Upload

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Declaration from the nominator :

I declare that the person presented above has been informed of this nomination and that the information provided is correct to the best of my knowledge.
Signature

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Date

MonthDayYear
Nominations must be received no later than June 13 2024. They can be submitted electronically and any supporting documents can be uploaded or sent to Santé en français by mail or email to the addresses below.

Mailing address:
Margaret-Teresa-McDonell Award Selection Committee
Santé en français
400 Taché Avenue, Room 400
Winnipeg, Manitoba
R2H 3C3

Email: rbeaudry2@santeenfrancais.com
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