Women in Mining Canada Rick Hutson Mentorship Award Nominator InformationPlease enter the Nominator's contact information.Name(Nécessaire) First Name Last Name Email(Nécessaire) Email Confirmez l’adresse courriel Phone number(Nécessaire)How did you hear about the Rick Hutson Mentorship Award?(Nécessaire) Women in Mining Canada mailing list Women in Mining regional chapter mailing list Women in Mining Canada social media Women in Mining regional chapter social media Communications from a community leader Coworkers/colleagues Friend or personal network Autre Would you like WIM Canada to keep this nomination on file for up to three years?(Nécessaire)Any new nomination will replace the saved nomination, otherwise the saved nomination will be considered for the Award. Yes No Nominee InformationPlease enter the Nominee's contact information.Name(Nécessaire) First Name Last Name Email address(Nécessaire) Email Confirmez l’adresse courriel Phone number(Nécessaire)ApplicationPlease fill out the following section to submit the application documentation.Please submit your cover letter(Nécessaire) Déposer les fichiers ici ou Sélectionnez des fichiers Taille maximum des fichiers : 256 MB, Nombre maximum de fichiers : 1. Please submit your letters of support, if you have any Déposer les fichiers ici ou Sélectionnez des fichiers Taille maximum des fichiers : 256 MB, Nombre maximum de fichiers : 3. Additional InformationThe following section is optional. The information will only be used in the case that the Nominee wins.Please submit a short bio (max 250 words) about the Nominee Déposer les fichiers ici ou Sélectionnez des fichiers Taille maximum des fichiers : 256 MB, Nombre maximum de fichiers : 1. Please submit a photo of the Nominee Déposer les fichiers ici ou Sélectionnez des fichiers Taille maximum des fichiers : 256 MB, Nombre maximum de fichiers : 1. Please share the Nominee's LinkedIn profile DemographicsThis section is optional. This information will be used for statistical purposes only.Nominee gender Man Woman Non-binary Two-spirit Not sure Prefer not to identify Autre Nominee age <25 26-30 31-40 41-50 51+ Not sure Prefer not to say Nominator age <25 26-30 31-40 41-50 51+ Prefer not to say Nominee Indigenous status First Nation Inuit Métis Not sure Prefer not to identify Not Indigenous Nominator Indigenous status First Nation Inuit Métis Prefer not to identify Not Indigenous Nominee ethnicity Asian Black Caucasian Indigenous Latinx Middle Eastern Mixed ethnicity South or Southeast Asian Not sure Prefer not to identify Autre Nominator ethnicity Asian Black Caucasian Indigenous Latinx Middle Eastern Mixed ethnicity South or Southeast Asian Prefer not to identify Autre Nominee location Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Not sure Prefer not to say Autre Nominator location Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Prefer not to say Autre
