Time: 00:01:58
Are you nominating yourself, or someone else?
*
I’m nominating myself
I’m nominating someone else
First Name of the Nominee:
*
Last Name of the Nominee:
*
What is the Student Number of the Nominee?
What is your name (if you’re nominating someone else)?
What is your email?
*
What is your nominee's email address (if you're nominating someone else)?
What Centennial College program does/did the nominee take?
*
Is the nominee a graduate, or a current student? (Please check one)
*
A graduate
A current student
What year did the nominee graduate (if applicable)?
What’s the nominee’s current career (if applicable)?
What’s the nominee’s story? Tell us a little bit about any achievements, accomplishments, or fun facts that we should know. We’ll ask for more information during the interview.
*
Consent for storing submitted data
*
Yes, I give permission to store and process my data