Honorary Degree/Diploma Nomination Form

Nomination Form

• Full Name of Nominee:*
• Phone Number:*
• Email Address:*
• Check appropriate boxes:*
  • Made a significant contribution to Algonquin College and the enrichment of its students;
  • Achieved notable accomplishments in a particular field of study, in their community or society;
  • Enhanced, promoted or contributed to the College’s image and reputation in Ontario and elsewhere;
  • Serves as a role model of community service to students, alumni and employees;
  • Demonstrates the values of the College – Caring, Learning, Integrity and Respect.
• Please provide a summary explaining how the nominee has exhibited the statement(s) checked above.*
• Please provide a summary of the nominee’s biographical information containing details such as education, field of endeavor, a short description of publications (if any), specials awards, and distinguished service. If publicaly available, you may wish to copy/paste a link to the nominee’s abridged curriculum vitae.*
• Please provide a 250 word statement based on the Selection Criteria (below) indicating how the nominee has made an extraordinary achievement or outstanding contribution in our community, in Canada or internationally.*
• 
  
• Full Name of Nominator:*
• Company and Position/Title:*
• Phone Number:*
• Email:*
• 
  Completed Nomination Package must include:
  
  ☐       The nominee’s full name, address, telephone number, and email address;
  ☐       The nominee’s biographical information/curriculum vitae (if available);
  ☐       Support for Nomination;
  ☐       The nominator’s name, address, telephone number, and email address
  
  By Mail:
  Honorary Degrees, Honorary Diplomas and Fellowship Awards
  c/o Administrative Assistant Academic
  Algonquin College
  1385 Woodroffe Avenue, Room C514
  Ottawa, ON K2G 1V8
  
  By Email:
  
  honorary@algonquincollege.com
  
  

  * - Required Fields

  Submission Deadline: Nominations may be submitted at anytime and normally must be received eight (8) months prior to the conferral convocation date. Nominee confidentiality will be respected and maintained throughout the nomination and selection process.
  
  Click here to view College Policy AA 16 – Honorary Degrees, Honorary Diplomas, and Fellowship Awards
  
  For additional information contact Academic Development at honorary@algonquincollege.com.
• Post Custom Field

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