Nomination/Reference Form

Scholarships, Awards and Named Bursaries

Thank you for participating in Michener’s Student Awards process. Please fill in the fields below and submit by September 20, 2020.

Nominator/Reference Name * Required
First Last
Nominator/Reference Email * Required
Please select if this is a * Required
- Reference
- Nomination
Relation to the student * Required
Please specify: * Required
Student Name * Required
First Last
Award Name * Required
Please explain how this student meets the criteria for the selected award. * Required