Pinchuk Award Nominations Form 2022

Pinchuk Award Nominations Form 2022

Please share the title of the Nominator.
Nominator Name(Required)
Nominator Address(Required)
Please list the address of the Nominator.
Please list the telephone number of the Nominator.
Please list the email of the Nominator.
Please note the title of the project being nominated for the 2022 Pinchuk Award.
Name(Required)
Please list the first and last name of the nominee.
Address(Required)
Please list your email.
Outline the Community Builder’s activities & accomplishments, highlighting specific initiatives and achievements.
Describe how the Community Builder positively impacts our community on Prince Edward Island.
Detail any awards, honours and other special recognitions given to the nominee for efforts in building our community on Prince Edward Island.
Is the nominee aware of this nomination?(Required)
Consent