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 * RequiredReferenceNominationRelation to the student * Required- Please SelectClinical EducatorClinical Liaison OfficerMichener Administrative StaffMichener FacultyOtherPlease specify: * RequiredStudent Name * Required First Last Award Name * Required- Please SelectA.W. Conn Respiratory Therapy ScholarshipAlexandra Mitchell Prudencio Memorial ScholarshipBronwen Roberts Memorial AwardBrookfield LePage Johnson Controls Radiation Therapy ScholarshipClinical Placement Relocation AwardCovidien Scholarship (Radiological Technology)Covidien Scholarship (MRI)Covidien Scholarship in Respiratory TherapyDorothy A. Hubbs & Family ScholarshipDr. Allen Gardner Memoral AwardDr. Clarence Redekop Memorial ScholarshipDr. Dan Wilmot Imaging ScholarshipDr. Diana Michener Schatz ScholarshipDr. Hugh Curry Diagnostic Cytology Scholarship (Odd Number Years only)Dr. J.E. Prince Nuclear Medicine ScholarshipDr. Jim Sieniewicz Radiological Technology ScholarshipDr. Renate Krakauer Research ScholarshipDr. Winston Isaac ScholarshipElekta Radiation Therapy ScholarshipInternational Student Award of ExcellenceLifeLabs Medical Laboratory Science ScholarshipMacDonald Sutton Laboratory Sciences Scholarship (Odd Years Only)Margie Patterson Memorial Scholarship in Molecular GeneticsMichener Alumni Association ScholarshipMichener Excellence in Clinical Education ScholarshipMichener Excellence in Clinical Preparation ScholarshipNational Bank AwardOntario Home Respiratory Services Association Respiratory Therapy Graduating Student Scholarship of ExcellenceParis Orthotics Clinical Education Scholarship (Graduate)Paris Orthotics Clinical Education Scholarship (In Year 3)Paul and Brenda Gamble ScholarshipPresident's ScholarshipProResp Respiratory Therapy Graduating Student Scholarship of ExcellenceRadiographic Quality Control ScholarshipRespan Respiratory Therapy Award for Student ExcellenceRon Bentley Memorial Faculty ScholarshipTrue North Imaging Scholarship in UltrasoundUltrasound ScholarshipVitalAire Respiratory Therapy Graduate ScholarshipZonta Club of Toronto Scholarship in Diagnostic CytologPlease explain how this student meets the criteria for the selected award. * Required