2024 EHFC Award Nomination Form
Instructions:
Thank you for considering your colleague(s) for an Environmental Health Foundation of Canada award. Please review the award criteria on the EHFC website www.EHFC.ca before completing the nomination form. Award nominations close June 16, 2024. Note: One form per nominee, per award. If you are nominating more than one person or a team for an award please send an email to EHFCChair@gmail.com in additon to completing this form.
Check the appropriate award below:
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T. Duncan Ellison Safe Water Award sponsored by the Canadian Water & Wastewater Association
Clifford E. Van Alstyne Communication Award
Dr. R. Neil Lowry Safe Recreational Water Award sponsored by the Lowry Group
Leadership in Environmental Health Award sponsored by Hedgerow Software Ltd.
Lilli Ann Zahara Public Health Education Award
Food Safety Award sponsored by NSF
Nominee Information:
Nominee Name:
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First Name
Last Name
Place of Employment (if applicable):
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Employment or Personal Mailing Address:
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Street Address
Street Address Line 2
City
Province
Postal Code
Phone:
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Nominee Email:
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example@example.com
Nominator Contact Information:
Nominator Name:
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First Name
Last Name
Place of Employment (if applicable):
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Employment or Personal Mailing Address:
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Street Address
Street Address Line 2
City
Province
Postal Code
Phone Number:
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Please enter a valid phone number.
Nominator Email:
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example@example.com
Nominee must meet all four of the following criteria:
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Certificate in Public Health Inspection (Canada) CPHI(C)
2024 Member of CIPHI
Working in the field of environmental public health or retired in the past 5 years
Please provide a letter outlining the rational for the nominaton (maximum 500 words). Upload your nomination letter here:
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