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Alumni Awards Nomination Form

Thank you for submitting an Ð԰ɵ¼º½ Alumni Award nomination.

We look forward to reviewing the nomination details provided.

Nominator Details
Contact Information
Ð԰ɵ¼º½ Connection
Nominee Details
Contact Information
if applicable
If nominee is an Ð԰ɵ¼º½ alum, please identify Ð԰ɵ¼º½ program(s) in which they completed/graduated?
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Supporting Documents
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The personal information that you provide to Ð԰ɵ¼º½ is collected under the authority of the Freedom of Information and Protection of Privacy (FOIP) Act - section 33(c). 

The information will be used for the purpose of processing your contact request, including your consent to receive communications from the Ð԰ɵ¼º½ Alumni Association.  By submitting this form, you consent to some of the information being shared publicly (e.g. nominee details, information contained within the supporting documents) at awards recognition events and through various Ð԰ɵ¼º½ communications tactics (e.g. e-newsletters, media relations and social media). All other information provided is for internal records.  

Collected personal information is protected from unauthorized access, collection, use, and disclosure in accordance with the FOIP Act and can be reviewed upon request subject to the provisions under the Act. 

Questions regarding the collection of personal information, or other information about the administration of the Freedom of Information and Protection of Privacy Act can be directed to the Access & Privacy Coordinator Ð԰ɵ¼º½, 100 Donald Boulevard, Box 5005, Red Deer, Alberta, T4N 5H5, or email.