Shirley Case Leadership Award 2023
Nominee's First Name
Nominee's Last Name
Address
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Nominator Information
Nominator's Name
Nominator's Address
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Relationship to Nominee
Tell Us About the Nominee
Please tell us how the nominee meets the criteria of the award.
Please provide a short description of how the nominee has played an active role in promoting global citizenship and models civic engagement globally and/or within their local community.
1200
If applicable, please list organizations or community groups the nominee has worked with and / or supported in the past.
Confirm eligibility
Please describe the nominator and/or nominees affiliation to ACIC.
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