Applicant Information

Thank you for applying for CanSIA's Game Changer Awards. 

Please note: Only CanSIA Members can make a application. If you are interested about a CanSIA membership, please visit the CanSIA website.

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* 1. Nominee's Name

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* 2. Nominee's Company

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* 3. Nominee's Phone Number

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* 4. Nominee's Email Address

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* 5. Is the Nominee a member of CanSIA?

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* 6. Are you nominating yourself/company?

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