Labradorian of Distinction Award

Nomination Form

Section 1 Nominee Information

Full Name of Nominee

Date of Birth (if applicable)

Status

Living Deceased (Posthumous)

Primary Connection to Labrador

Birth Residence Service Long-standing Contribution

Please describe their connection to Labrador

Current or Most Recent Occupation / Role

Community / Region in Labrador (if applicable)

Section 2 Nominator Information

Full Name

Organization (if applicable)

Email Address

Phone Number

Relationship to Nominee

Type of Nomination

Individual Organization Community Group Self-Nomination

Section 3 Eligibility Criteria

Please indicate the areas in which the nominee has made significant contributions. Check all that apply.

Community Leadership and Service Indigenous Leadership and Reconciliation Arts, Culture, and Heritage Environmental Stewardship Education and Mentorship Business, Innovation, or Economic Development Public Service or Advocacy

Section 4 Nomination Statement

Maximum 1,000 words. Please outline:

The nominee's contributions
Their impact on Labrador and its people
Why they merit recognition as a Labradorian of Distinction

Write your statement below

Or attach a document

Attach Document

Section 5 Submission Method

Online Submission PDF Submission

All materials must be received by the stated deadline.

Section 6 Important Dates (Updated Annually)

Nomination Period Opens

Nomination Deadline

Recipient Announcement

Section 7 Declaration

I confirm that the information provided in this nomination is accurate to the best of my knowledge.

Full Name

Signature

Date

Prefer a Physical Copy?

Download the official PDF version of the Nomination Form for manual completion.

Download PDF Form

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