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2. Name of Nominator *
4. Phone Number of Nominator*
5. Email Address of Nominator*
7. Name of Nominee*
9. Phone Number of Nominee*
10. Email Address of Nominee*
12. Criteria for Professional Achievement Award
    To recognize individual residents for outstanding achievements or contributions in a professional capacity. Refers to all occupations, professions or business pursuits for which someone receives a wage or other compensation. Recipients may be recognized for a single action, or for a significant contribution or achievement over an extended period. Local Businesses do not qualify for this category. However, individual employees can me recognized if they meet the above criteria.
14. Please select all that apply in regards to your nominee.*

    1. Made a Significant Impact to the Town of Slave Lake
    2. Enhanced the Quality of Life for the Town of Slave Lake
    3. Enhanced the Image of the Community
    4. Is a Professional in their Field

    1. Is an Amateur in their Field
    2. Being recognized for a single action
    3. Being recognized for an achievement over a period of time
16. Please provide further details on why your nominee should be awarded this recognition? *
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18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

* indicates a required field