Public Health Association of BC Public Health Association of BC

Awards Nomination Form

PHABC’s call for nominations for 2022 Awards is now open.  The deadline for submissions is October 15th, 2022.

    All fields are required.

    Your Name:

    Your Organization:

    Your City:

    Your Phone:

    Your Email

    Please select the appropriate award(s) and complete the information for nominee.

    Use Ctrl+click to select multiple awards

    Nominee Information

    Nominee's Name:

    Nominee's Email

    Nominee's Organization:

    Nominee's Street Address:

    Nominee's City:

    Nominee's Province:

    Nominee's Postal Code:

    Nominee's Phone:

    Why do you think this person is a good candidate for the award?

    Upload your letter of support: