Nominee’s Information

All nominees must be African Canadian and a current member of the BBPA.

Please submit nominations as instructed under the General Rules in the Nomination Package. Completed nomination forms must be received by email to hja@bbpa.org Deadline for nominations is December 16th, 2018 at 11:59 pm.


The selection committee will not consider late applications or incomplete applications. ALL applications must have supporting documents listed in the general rules.

**Nominations will not be accepted by fax or mail.

Please complete the following section with information about the nominee.

FIRST NAME
LAST NAME
MIDDLE INITIAL
AGE IN APRIL 2019 (Applies to age sensitive awards only - Validation of age required)
Street Address:
City, Province, Postal Code:
Telephone Number (incl. area code):
Email Address:
Website:
Please check the category or categories for which the individual is being nominated
Please provide the Nominee’s Social Media Handles
Instagram
LinkedIn
Facebook
Twitter
Snapchat

Nominator’s Information

Please complete the following section with information about yourself - the nominator.

FIRST NAME
LAST NAME
MIDDLE INITIAL
Street Address:
City, Province, Postal Code:
Telephone Number (incl. area code):
Email Address:
Please explain how the nominee has demonstrated excellence in the chosen category and why they are deserving of the award
I have obtained the nominee’s permission to submit this nomination:

Nomination Form Checklist

Passport sized picture (300dpi) attachedScanned copy of Government Issued Identification confirming age of nomineeResume / CV attachedSupport documentation (should not exceed 20 pages)
Nominee Biography (500 Words)
How is the Nominee a GAMECHANGER (150 Words)
How did you learn about the Harry Jerome Awards?
Format: (pdf,docx,doc,jpg,jpeg,png,bmp) 10 MB