Women in Mining Canada Indigenous Student Trailblazer Award Nominee InformationPlease enter the Nominee's contact information.Name(Nécessaire) First Name Last Name Email adress(Nécessaire) Email Confirmez l’adresse courriel Phone number(Nécessaire)Postsecondary institution(Nécessaire) Program of study(Nécessaire) Level of study(Nécessaire) Bachelor's Master's Ph.D. Diploma Autre Expected graduation year(Nécessaire) 2024 2025 2026 2027 2028+ Is the Nominee also the Nominator?(Nécessaire) Yes No How did you hear about the Indigenous Student Trailblazer Award?(Nécessaire) Women in Mining Canada mailing list Women in Mining regional chaater mailing list Women in Mining Canada social media Women in Mining regional chapter social media Communications from your school/program Communications from a community leader Coworkers/colleagues Friend or personal network Autre Would you like WIM Canada to keep this application on file for up to three years (or until graduation)?(Nécessaire)Any new application will replace the saved application, otherwise the saved application will be considered for the Award. Yes No Nominator InformationPlease enter the Nominator's contact information.Name(Nécessaire) First Name Last Name Email address(Nécessaire) Email Confirmez l’adresse courriel Phone number(Nécessaire)How did you hear about the Indigenous Student Trailblazer Award?(Nécessaire) Women in Mining Canada mailing list Women in Mining regional chaater 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 ApplicationPlease fill out the following section to submit the application documentation.Please submit the Nominee's CV(Nécessaire) Déposer les fichiers ici ou Sélectionnez des fichiers Taille maximum des fichiers : 256 MB, Nombre maximum de fichiers : 1. Please submit the Nominee's transcript or proof of enrollment(Nécessaire) Déposer les fichiers ici ou Sélectionnez des fichiers Taille maximum des fichiers : 256 MB, Nombre maximum de fichiers : 1. Please submit the answer to the first essay question(Nécessaire)"Why is the Nominee interested in a career in the Canadian mining industry?" Déposer les fichiers ici ou Sélectionnez des fichiers Taille maximum des fichiers : 256 MB, Nombre maximum de fichiers : 1. Please submit the answer to the second essay question(Nécessaire)"How has the Nominee supported and contributed to the advancement of other Indigenous people and/or women looking to have careers in the Canadian mining industry?" Déposer les fichiers ici ou Sélectionnez des fichiers Taille maximum des fichiers : 256 MB, Nombre maximum de fichiers : 1. Additional InformationThis 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 only be used for statistical purposes.Nominator gender Man Woman Non-binary Two-spirit 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 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 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
