Tell us about your award

Congratulations on your award! Please tell us a little more about what you've won by filling out this form. Some of the details will be used to feature this acknowledgement publicly on the Faculty of Nursing Awards webpages.

If you have any questions about this form or the website, please email Christi Lange.

(include name of sponsor organization)
Photo should be a personal photo (headshot or profile photo preferred)
One file only.
10 MB limit.
Allowed types: gif, jpg, png.
Anything else you'd like us to know about the award?

Collection of personal information
Your personal information is collected under the authority of section 33(c) of the Freedom of Information and Protection of Privacy Act. If you have any questions about the collection or use of this information, please visit our Access to Information page.