Early Career Award - NOMINATION FORM.pdf - Google Drive

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Section 33(C) of the Alberta Freedom of Information and Protection of Privacy Act for the. purpose of administering alum
School of Public Health Early Career Award Nomination Package

Eligibility Criteria

The School of Public Health Early Career Award recognizes the outstanding contributions of a School of Public Health alumnus(a) within 10 years of receiving their graduate degree.

Documents Required

The following documents must be submitted with the application form: •

Completed Nomination Form



Letter of Intent If self-nominated, a self-written letter is required. If nominated, a letter from the nominator is required along with a letter from the nominee indicating they accept the nomination.



CV/resume of nominee



Minimum of one letter of reference This referee must be able to speak to the nominee’s contributions and impact made in their career.

Completed nominations must be received by June 30, 2017 at 11:45 p.m. by either mail or email: [email protected] or School of Public Health Alumni Awards Committee Office of Marketing and Alumni Relations 3-300 Edmonton Clinic Health Academy 11405 – 87 Avenue Edmonton, AB T6G 1C9 Note: The School of Public Health Alumni Awards Committee will not consider incomplete applications.

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Nomination Form Nominee Full Name __________________________________________________________________ Street Address ______________________________________________________________ City ______________________________________ Province/State ___________________ Postal code/Zip code ________________________ Country ________________________ Telephone ________________________________ Email __________________________ Position/Occupation __________________________________________________________ Degree(s) from the University of Alberta __________________________________________ Other Degrees ______________________________________________________________

Nominator 

Self nominated

Full Name __________________________________________________________________ Telephone ________________________________ Email __________________________ Signature _________________________________

Date ___________________________

References 1. Name _________________________________ Email __________________________

Attachments 

Nomination form



Letter of intent



CV/resume of nominee



Reference letter

The personal information requested on this form is collected under the authority of Section 33(C) of the Alberta Freedom of Information and Protection of Privacy Act for the purpose of administering alumni relations at the School of Public Health at the University of Alberta, for updating our alumni database, and for determining alumni eligibility to receive an award offered by the School of Public Health. By making a formal FOIPP request, an alumnus can gain access to a letter of reference and/or other information of which he or she is the subject. You have the right to refuse to provide a reference. Questions concerning the collection, use or disposal of this information should be directed to Donna Richardson, Director of Marketing and Alumni Relations, School of Public Health, 780.492.1386 or [email protected].

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