Student Achievement Award Nomination Form

SUBMISSION DEADLINE: 11:59 p.m. (PT) on Friday, July 10, 2020

We invite you to nominate a student from your community who is currently enrolled in a STEM related post-secondary program by e-mailing or mailing a completed application to the address listed below. Only those persons selected as winners will be contacted.

Nominated By
Student Information
Student Name
Student's Address

This is an award for First Nations peoples; therefore, the student's involvement/engagement/participation in First Nations community is of the utmost importance to the selection committee.

Tell us about the student… where did they grow up? What do they like to do? 
What is their family and community like?
How do they participate in First Nations communities?
In the future how do they hope to contribute to First Nations communities?
Why do they deserve this award?
To which award(s) are you nominating this student?
Please provide an official transcript from your present or most recent academic program.
Please provide proof of First Nation or Métis ancestry (photocopy of the front and back of status card).

My signature below verifies that I have read and understand all details outlined within the application. I understand that until I submit all documentation required my application is incomplete. Incomplete applications are not sent for Selection Committee review and no award is possible.

I certify that all information contained on this form is true and correct. I understand that any false statements intentionally given on this application, by email, or telephone will disqualify my application and will affect my ability to access future funding.

Sign above