Please send the nomination form to: awards@museums.ca

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Award of Distinguished Service

1. Nominator 1

Nominator’s nameTelephone numberEmailMailing address

Nominator 2

Nominator’s nameTelephone numberEmailMailing address

Nominator 3

Nominator’s nameTelephone numberEmailMailing address

2. Nominee

Candidate’s name(individual, team lead or institution)Organization

Telephone number

Email

Mailing address

Note: Each nominee must be sponsored by three Canadian museum professionals,

including at least one who is a member of the CMA in good standing.

Please send the nomination form to: awards@museums.ca

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Award of Distinguished Service

3. Nomination statement

The Nomination statement, which explains why the nominee merits the award and how they meet the required criteria. (maximum 300 words)

Criteria Worked in one or more Canadian

museum(s) as defined by the CMA, or in a provincial or national association organized to support the museum profession and the advancement of museums.

Worked for 20 years in, or for, the Canadian museum community.

Demonstrated excellence in their contributions to the functioning or advancement of Canadian museums.

Made significant contributions to the Canadian museum sector.

Known for their expertise. Been a model in the museum

community.

4. Relevant support material

Relevant support material – OPTIONAL (please provide web links or hyperlinks)

Please submit this form with a letter of support from each of the three nominators and the curriculum vitae of the nominee as an attachment. This is required to complete your nomination.

I confirm that the information provided is accurate. I agree to respect the conditions and rules of the Canadian Museums Awards Program of the CMA and the decision of the Award Jury, which cannot be appealed.

I confirm

Date Signature