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Loyola Medal 2021 - Nomination form

The recipient of the Loyola Medal shall be a person whose character, philosophy and contribution has enriched the heritage of Canada and humanity.

Please note:

1) The completion of this nomination form should take approximately 10-20 minutes.
2) The nominator and nominee cannot be the same person.
3) All nominations must be complete to be considered

(Please do not send a URL as a stand alone nomination).

Whom do you want to nominate?

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* First name

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* Last name

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* Email address

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* Phone number

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* If nominee is a graduate of Concordia University, Loyola College or Sir George Williams University, what is their degree and year of graduation?

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* Nomination
Please describe how your nominee meets each of the following criteria:

Is an outstanding citizen as evidenced by character and life philosophy.

Has made a significant contribution to Canada.

Embodies the ideals and spirit which characterized Loyola college (service to others, concern, and respect for other persons).

Receipt of the award will bring prestige to both the Concordia and Loyola names.

Your complete answer should be a total of 250-300 words. Please drag the lower right corner to expand the text box.

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* Please upload any relevant supporting material such as your nominee's curriculum vitae (optional)

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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* Tell us who you are
We may contact you if there are any questions about the nomination.

Name

Email Address

Phone Number