Alberta Diabetes Foundation                              2024 Hummingbird Awards Nomination Form        Deadline for submission - August 31, 2024
2024 Hummingbird Awards Nomination Form
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Nomination form title image
Nominator's Information
There is no limit on the number of individuals you wish to nominate. Please submit a separate Nomination Form for each Nominee.
Your Full Name *
Your Daytime Phone number *
Your Email *
Your relationship to nominee*
ex: coworker, friend, supervisor, etc.
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Award Nomination (Check one)
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Obligatorio
Nominee's Information
Nominee's Full Name
 *
Nominee's contact information (email & phone number)
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Nominee's current position
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Number of years Nominee has been in current position (if applicable)
Examples of Nominee's contributions 
(As outlined for specific award criteria)
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Are there any additional reasons you would like to nominate this person?
I have read and agree to the "Rules of the Awards". And certify that all information provided in this nomination form is true.
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I have informed the nominee of this nomination ( Successful nominees *selected by the committee* will receive one complimentary ticket for the Hummingbird Awards Gala. Additional tickets can be purchased at the early bird or regular rate.)

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