| Date: |
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| The Nominee: |
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| Last Name: |
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| First Name: |
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| Initials: |
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| Year of Birth (if known): |
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| Year of Death (if applicable): |
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| Where may the nominee be reached? (if applicable) |
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If the nominee is deceased, who would represent the nominee at the induction ceremony? (if known):
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What is the representative's relationship with the nominee (Next of kin, relative, prior employer
or other): |
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| Where may such a representative be reached? |
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| Category of Nomination (check one) |
Inventors and Innovators - The Nominee has invented or improved upon
telecommunications technology, facilities, equipment or services in Canada in a manner or to an extent that has revolutionised or enhanced the way Canadians communicate. |
Icons of Business - The Nominee has made a significant contribution to the building or
success of a Canadian telecommunications firm, or to the offering of telecommunications
equipment or service to Canadian telecommunications consumers. |
Servants of the Public - The Nominee has facilitated the growth or competitiveness of
the Canadian telecommunications industry, or furthered the achievement of other goals or
objectives of the sector through public service for the betterment of Canadians. |
Advocates and Academics - The Nominee has through public or consumer advocacy or
academic or literary pursuits enhanced the reputation, credibility or visibility of the Canadian
telecom industry, contributed to the efficiency or productivity of the sector or improved the
benefits to Canadian consumers and users of telecommunications. |
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| The Nominator |
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| Briefly list the achievements for which the nominee is best known: |
Mandatory |
| Briefly explain why the nominee should be inducted into Canada's Telecommunications Hall of Fame: |
Mandatory |
| Last Name: |
Mandatory |
| First Name: |
Mandatory |
| Address: |
Mandatory |
| Daytime Phone Number: |
Mandatory |
| Evening Phone Number: |
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| Email: |
Mandatory |
| Affiliation with/Association to the Nominee (e.g. relative, work colleague etc.): |
Mandatory |
| If deemed necessary, a representative of Canada's Telecommunications will contact you to discuss your nomination. Would you prefer such a contact by telephone or by email?
Email
Telephone |
| Verification code: |
In the space below, type the characters that appear in the picture
Mandatory |
I agree to all terms and conditions found in the Hall of Fame's privacy policy:
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