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Nomination Form
"
*
" indicates required fields
Step
1
of
4
25%
Nominee
Name
*
Full Name
Address
*
Street Address
City
Province
Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Phone Number
*
Nominee Email
*
Nominator
Name
*
Full Name
Address
*
Street Address
City
Province
Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Phone Number
*
Nominator Email
*
Categories
Category
*
New Citizen Award – Sponsored by: Patti Chrabaszcz
Philanthropy Award – Sponsored by: Michelle Zoschke
Health and Wellness Award – Sponsored by: Arti Verma
New Business Venture Award – Sponsored by: Darlene Schindel
Entrepreneur of the Year Award – Sponsored by: Joanna Starko
Education & Mentorship Award – Sponsored by: Stacey Berger
Professional Trades/Special Skills Award - Sponsored by: Zandra Bell
Trailblazer 55+ - Sponsored by: Jessilyn Persson
Spirit of Youth Award - Sponsored by: Theresa Stanley
Please choose the category that best describes your nominee.
Is Nominee Under the Age of 18?
*
Yes
No
New Citizen Award: Immigrant from another country now a Canadian Citizen who is making a difference in the lives of others and/or her community. Philanthropy Award: Works and/or volunteers her time in a non-profit or charitable organization. Health and Wellness Award: Must be in the health & wellness business in providing people with outstanding results. New Business Venture Award: Must run a successful new business for 1 – 5 years. Entrepreneur of the Year Award: Must run a successful business for more than 5 years. Education & Mentorship Award: This award recognizes women who inspire others with their passion of personal growth, development, and life-long learning. Through the education system, employee training and development, mentorship, community education or their alternatives, they develop innovative programs and or build a strong rapport with community members to foster learning in a broader sense. Professional Trades/Special Skills Award: This award recognizes a woman who (i.e. broad range of skills and talent in order to contribute to a modern economy in skills or professional Trades (i.e. Public Speaker, Salesperson, Networker, Leader, Graphic Designer, Marketer, Human Resources, Athlete, Polyglot, Hairstylist, Coaching, Politics, Media, Architects, Engineers, Electricians, Builders, etc.). Trailblazer 55+: This award recognizes a 55+ woman who is blazing a trail to pursue her mid-life dreams. This 55+ woman is a powerful inspiration to countless others, launching a business, non-profit or charitable organization as a 55+ trailblazer. Spirit of Youth Award: This award recognizes a young woman from 13 to 21 years of age who has excelled in education, athletic ability, community service or entrepreneurship – (Ages 13 to 21 years) Please Note: Nominees under 18 years of age must have parental consent & permission to participate in the nomination process & the actual event.
Event Information
All Nominees will receive one (1) complimentary Ticket to participate in The SuPEARLative Awards. Nominees must submit a personal Bio, maximum or 50 to 60 words. All Nominees will be photographed by our professional photographer for our program & promotion of the event. Your signature below indicates that you are in agreement with our process and policies. This signed document also confirms that you will be in attendance at the Awards event in Edmonton on Saturday Nov 23rd, 2024. There is a two (2) year waiting period if you’ve been recently nominated. If you were nominated and won your category award, there is a five (5) year waiting period to become eligible for future nominations.
Dress Code & Ticket Information
This is a Red-Carpet Gala Event. If you LOVE to dress-up, this would be your TIME TO SHINE. Dress Code is in affect for this Event: FORMAL/FANCY, NO BLUE JEANS. Ladies are encouraged to wear Gowns, Cocktail Party Dresses, Sparkles or Business Formal Attire. Men are encouraged to wear suits, jackets, ties, bowties, or tuxedos. Nominees are encouraged to invite friends & family to attend the event to cheer them on. Individual tickets or tables of (8 or 10) may be purchased closer to the event date TBA. Your signature below is your acceptance for nomination and consent to use your biography and photo(s) in all social media SuPEARLative Awards publicity.
Deadline for nominations is NOON 12:00pm on September 15th, 2024 PLEASE NOTE: Both signatures are needed to complete the form, therefore the nominator cannot submit the form. You will need to click the SAVE AND CONTINUE button at the bottom of the page, and enter the nominees email. This will send the nominee the completed form, where they can sign their signature, and submit the form.
Nominee Signature
*
Nominator Signature
*
Spirit of Youth Nominees
Only if Nominee is under the age of 18
Name of Parent
*
Please Print
Parent Phone
*
Parent Email
*
Parent Signature
*
More Information
Nomination Submissions or further information: Call: Dorothy Briggs-Founder, 780-761-3000 Dorothy.briggs@shaw.ca LIMITED APPLICATIONS ACCEPTED – INCOMPLETE APPLICATIONS SUBMITTED WILL BE DISCARDED. THANK-YOU FOR ADHEREING TO NOMINATION POLICIES.