Annual Esquao Awards Gala - Nomination Form
Nominee *must be a resident of Alberta (Minimum of two years)
This Award will honor Aboriginal women who have brought positive changes to their communities and are an inspiration to others. Nomination categories are listed below in the drop down menu. The first 20 COMPLETE nominations received will be recognized.
NOMINATION REQUIREMENTS:
• Each nomination should include three letters of support. One from either a community association, Band, or Settlement and two others.
• A photo of the nominee must be included (not returnable). Photocopied or faxed copy will NOT be accepted. Scheduled photographs will be arranged where possible.
• Each nomination should specify in which category the woman is being nominated. IAAW reserves the right to change categories.
• The nominator is to describe the nominee in 125 words or less. A summarized version will appear in the program and other promotional material.
OTHER INFORMATION:
Recipients are invited to attend the Gala ceremony in Edmonton. IAAW provides two tickets to attend the Gala ceremony held in Edmonton and the recipient decides who they would like to accompany them to the Awards.
Additional tickets are available at a cost of $150/ticket, and IAAW will hold the remaining 8 tickets at the recipients table open until April 1. Please inform the IAAW office if you will be requiring additional tickets, as soon as possible.
A confirmation will be sent to the nominator and recipient prior to the gala with additional information on the event.
This event may be televised and will be used to promote the organization and future events.
* indicates required
Name
*
Prefix
First
Last
Suffix
Nominee Phone Number
*
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Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country
First Nation #:
Inuit #:
Métis #:
I am nominating this person for the category of:
*
ASPIRING YOUNG WOMEN: Young Aboriginal Women with great potential
ARTS PERFORMING OR LITERATURE: Achievements in the arts industry
BUSINESS: Successful Aboriginal business leader
EDUCATION: Achievement in various fields of education
HEALTH AND MEDICINE: Traditional and/or non-traditional practice in Health and Medicine
TRADES & TECHNOLOGY: Success achieved in trades and technology in the construction oil & gas industry
CORPORAL BERTHA HOULE: Those serving/served in the Canadian Armed Forces, Police, Fire or Emergency Services
CLARA WOODBRIDGE COMMUNITY INVOLVEMENT: Significant achievements in improving their community
DOROTHY DANIELS JUSTICE: Courage and determination in pursuing justice for Aboriginal women
LINDA BULL INTERNATIONAL: Pursuit of international relationships with Aboriginal women
MADGE MCREE CULTURE: Practicing and preserving our cultural traditions
CHRISTINE DANIELS POLITICAL INVOLVEMENT: Involvement of Aboriginal women in politics
ROSE AUGER LIFETIME ACHIEVEMENT: A lifetime commitment of self-fulfillment and helping others
COLLEEN KLEIN CHILDREN'S FUTURE: Dedication to helping children to realize their dreams
Describe the Nominee
*
Upload a Letter of Support
Upload a Letter of Support
Upload a Letter of Support
Upload a Photo
Nominator Name
*
First
Last
Nominator Phone Number
*
Nominator E-mail
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country
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