AWARD CATEGORY
Please Select One or More of the Following:
Professional/Business Award
Community Service Award
Arts Award
NOMINEE INFORMATION
Nominee's Name:
Age:
Phone (Home or Cellular):
Phone (Business):
Email Address:
Name of Employer:
Position Held:
NOMINATOR INFORMATION
Nominating Person or Group:
Contact Name:
Phone (Home or Cellular):
Phone (Business):
Email Address:
Name of Employer:
Position:
Please indicate your relationship to the nominee.
If other, please specify

NOMINEE INFORMATION - BIOGRAPHY AND RESUME

Please attach a copy of the Nominee's Resume here:


Please provide a short biography for the nominee, including the nominee’s outstanding achievements, contributions to the community and personal characteristics. The biography will be reviewed and may be edited should the nominee become a finalist. (Maximum 250 Words)

NOMINEE INFORMATION - QUESTIONS

Please answer the following questions regarding the nominee.
1. A consistent character trait of previous finalists is their exemplary and extensive involvement and engagement with the community. Please summarize the exceptional community contributions the nominee has made and how the nominee contributes to improving Manitoba. (Maximum 500 Words)
2. Generally, please explain why you feel this nominee is deserving of the Future Leaders of Manitoba Award. (Maximum 500 Words)
I, the undersigned, take pleasure in making this nomination and believe the information provided is complete and correct. The nominee is aware that they have been nominated for a Future Leaders of Manitoba Award.

Yes No