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2023 Community Spirit Awards Nomination Form

The 2023 Community Spirit Awards will be presented at a ceremony on Wednesday, October 18 at the Esplanade Arts & Heritage Centre.

Please note: Completed nomination packages must be received no later than 4:30 pm on Friday, June 16 2023.

File Uploads: All the files together should not exceed 15MB. Please resize or lower the quality of the file prior to upload.


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I hereby take responsibility for the good order and conduct of the foregoing event:

Pursuant to s. 33 (c) of the Freedom of Information and the Protection of Privacy Act, the personal information collected on this form is for the purpose of an operating program or activity of the City of Medicine Hat. The City of Medicine Hat must collect personal information directly from the individual that the information is about unless another method of collection is authorized by the individual or by an enactment of Alberta or Canada. The personal information provided will be protected under Part 2 of the Freedom of Information and the Protection of Privacy Act and will be used for processing your application.

Questions regarding the collection and use of personal information can be directed to the FOIPP Head of Local Body at 403 529 8234

By submitting this application/form you acknowledge and agree that any electronic signature provided by you herein is the same as a handwritten signature for the purposes of legality, validity, enforceability, and admissibility.