The package must include:
• Statement of Nomination
• Digital Photograph
• 2 letters of support, signed by the letter writer.
• Nominee’s Resume(s)/Official Transcript(s)
TJ’s Champions Nomination Form
Nomination Guidelines are on this brochure and are also available on our website at TJsGift.com. Please review Nomination Guidelines before making a nomination.
FOR INDIVIDUAL NOMINATION ❑ Youth Award ❑ Volunteer Award ❑Service Award
Nominee Contact Information
Full Name __________________________________________________________________________
Address __________________________________City________________Postal Code ______________ Phone_____________________________________Email_____________________________________
I certify that the information in this nomination submission is true and correct in its entirety, and I allow my
name to stand for nomination. I understand that my name, photograph and contact information may be given to the media.
Nominee Contact Information
FOR GROUP NOMINATION ✓Service Award
Name of Organization ______________________________________________________
Address of Organization______________________City________Postal Code ______________
Phone of Organization ___________________________Email of Organization ________
Contact Person for Organization_____________
Phone (Contact Person)_______________Email (Contact Person) ____________________
I certify that the information in this nomination submission is true and correct in its entirety, and we allow our organization’s name to stand for nomination. We understand that our name, photograph and contact information may be given to the media.
NOMINATOR INFORMATION (to be filled out for each nomination)
Name (will appear in program) ______________________________
Contact person (if group nomination) __________________________
Address _______________________City________________Postal Code ______________ Phone_____________________________________Email_______________________________
I have read the information in this nomination and, as the nominator, certify it to be true and correct in its entirety. I consent to my name being released to the public as the nominator.
How did you hear about making a nomination for the TJ’s Champions awards? ___________________________________________________________________________
NOMINATIONS SHOULD BE SUBMITTED TO:
TJ’s Gift Foundation
38 Hawkins Crescent Winnipeg, MB R2N 1G9
Or by fax: 204-272-3340
Or by email: Karen @TJsGift.com
Deadline for Application is: March 15
Early Bird Nomination Deadline is: March 6
Meet the Early Bird Deadline for a Chance to Win 2 Free Tickets (Value $250) for the Annual TJ’s Gift Gala. For more information, please contact Karen Wiebe at 204-228-2540 orKaren@TJsGift.com