Lieutenant-Governor’s Dialogue Award Nomination form2019-03-11T18:02:08+00:00

Lieutenant-Governor’s Dialogue Award Nomination form

Established in 2003, the Lieutenant-Governor’s Dialogue Award is awarded to those role models who champion the principles of harmony and respect in our diverse communities. The only honour of its kind in Canada, the Lieutenant-Governor’s Dialogue Award is sponsored by Dialogue New Brunswick, a non-profit organization whose mission is to work towards strengthening the province’s social cohesion by fostering harmonious relationships between all cultural groups in the province.

ELIGIBILITY

An individual and/or group who fosters understanding, mutual respect and appreciation between New Brunswickers are eligible. The Award may be conferred posthumously. Institutions who are subject to the Official Languages Act are not eligible.

**Please note that the closing date for nominations is April 5, 2019.**

I wish to submit the following nomination (individual or organization) for the Lieutenant-Governor’s Dialogue

Nominee's name:


Nominee's Email:


Nominee's Phone Number:


Reasons for nomination:


Please provide a concise, updated statement of why you feel this nominee meets the Awards’ objectives: service, core values, leadership, creativity and contribution to our diverse communities or the province. Nominations can be substantiated by testimonials, by including the title of produced and published works, by including a resume and references and or by any other pertinent information.

Resume (.pdf, .txt, .jpg):


Testimonials (.pdf, .txt, .jpg):


Published works (.pdf, .txt, .jpg):


Other supporting documents (.pdf, .txt, .jpg):


References:


Please provide the names of individuals who are familiar with the nominee’s achievements and who would be willing to offer further information on this candidate.

Reference 1





Reference 2





Nominator:


Email of nominator:


Phone number of nominator: