Nominator Form: 2022 Patricia Milke Member Service Award

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The Patricia Milke Member Service Award is for longstanding members who have made outstanding contributions, offer ongoing support and embody the true spirit of membership.

Nominees should have been involved as a volunteer with CALAS/ACSAL at the regional or National level for at least 10 years. Their contributions must have been to an outstanding level, having truly distinguished themselves from their peers. Their type of involvement may have varied, but their level of dedication would have always been considerable. Candidates must be a CALAS/ACSAL member in good standing.

Candidate Information

Name:

Institution or Company:

Position held:

Preferred Phone:

Preferred Email:

Is the candidate a CALAS/ACSAL member in good standing? (Mandatory) *

Has the candidate been involved as a volunteer with CALAS/ACSAL for at least 10 years?

Yes

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Contact Information of Nominator

Name:

Occupation:

Street Address:

City:

Province:

Postal Code:

Preferred Phone:

Preferred Email:

Is the nominator a CALAS/ACSAL member in good standing? (Mandatory) *

Yes

Indicate volunteer positions Candidate has held within CALAS/ACSAL:

Please enter your statement of nomination:

(max 500 words)

Please enter at least two (2) references and their contact information. CALAS/ACSAL will contact the references for their reference letters.

i.e. Name, Phone Number, and Email

Submit

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