Nomination Form for the Roberta Bondar Foundation Award for Innovation and Creativity Please enable JavaScript in your browser to complete this form.Nominee InformationName of Nominee: *Organization (if applicable): *Contact Information (Email/Phone): *Nominator InformationName: *Contact Information (Email/Phone): *Are you associated with the nominee (either personally or professionally)? If yes, please specify the nature of your association. *Nomination DetailsBrief Description of Nominee's Achievements and Contributions to: *Protection and/or Conservation of the EnvironmentEngaging Children and Youth in the Natural WorldActions Related to the Environment That Improve Mental Health and Well-beingHow does the nominee align with the Foundation's mission, vision, and values? *SubmissionConfirmation Statement: By submitting this form, I confirm that the information provided is accurate to the best of my knowledge. *I confirmSubmit
