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2025 ISCNWT Award Nomination Form

Nominee Information

Please provide the following information on the person you are nominating for an award.

Full Name

Community

Address

Postal Code

Phone

Email

Nominator Information

Full Name

Community

Address

Postal Code

Phone

Email

Nomination Details

Is the nominee of Indigenous Descent (ie. First Nations, Metis, Inuit)

Yes

No

Which award are you nominating this individual for?

Sport Award

Coach Award

Community Builder Award

Language & Culture Award

What has this person done that has benefited the Community, Region, or Territory in a positive way?

How has this person achieved their success in building or creating positive lifestyles in the Community, Region, or Territory?

What impact will they leave behind in your Community, Region, or Territory?

If you wish, you can include a written explanation in your own words. On why you are nominating this individual.

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