Honorary Doctorate Degree Nomination
for
Submitted by:
Date:
To:
Office of the President
900 Fifth Street
Nanaimo, BC
V9R 5S5
Vancouver Island University
Honorary Doctorate Degree Nomination
Part 1
Nominee and Nominators
We, the undersigned, nominate this candidate for an Honorary Doctorate of:
Laws for accomplishments and contributions in areas such as politics, justice and social activism
Letters for scholarly accomplishments and contributions in areas such as science, social science, theory, literature
Science for accomplishments and contributions in Science
Technology for accomplishments and contributions in applied areas related to Science and Technology.
NOMINEE: Click here to enter text.
Address:
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Email:
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Nominators
Lead Nominator: Click here to enter text.
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Address:
Email:
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Signature:
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Date:
Supporting Nominator #1:
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Address:
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Email:
Signature:
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Date:
Supporting Nominator #2:
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Address:
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Email:
Signature:
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Date:
The collection of personal information by Vancouver Island University is in accordance with sections 26 and 27 of the Freedom of
Information and Protection of Privacy Act (FIPPA) and the University Act. The collected information will be used solely for the purposes of
this Honorary Doctorate Nomination and any subsequent award ceremonies.
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Vancouver Island University
Honorary Doctorate Degree Nomination
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Vancouver Island University
Honorary Doctorate Degree Nomination
Part 2
Nominee Background Information
Bulleted lists will automatically format as text is entered.
If possible, please enter lists chronologically, beginning with most recent date;
i.e.:  1992 University of B.C., PhD
 1985 University of Toronto, B.A. and MSc
Present Position(s)
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Former Position(s)
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Education
Year/Institution/Credential
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Memberships and
Affiliations
Year/Organization
Awards and Recognitions
Year/Award or Recognition
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Provincial, National,
International Activities
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Service to Community or
Region
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Other Notable
Achievements
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Publications
(attach separate list if extensive)
Exhibitions:
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Public News Release
Year/Title
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Date/Exhibition
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(150 words or less for use in
public news release)
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Vancouver Island University
Honorary Doctorate Degree Nomination
Part 3
Statement of Endorsement
The Statement of Endorsement is a joint statement from the Lead Nominator and two Supporting Nominators, stating reasons for the
awarding of an Honorary Doctorate Degree to the Nominee, and should not exceed three pages.
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