Influencers Nomination Form

We’re accepting nominations for Leduc’s Influencers Awards designed to celebrate youth, ages 17 to 21 who reside in the City of Leduc, for their leadership, positive influence and advocacy efforts shining a positive light on our community. Click HERE for more information and criteria for this award program.

Annual deadline: April 30

Who would you like to nominate?

Name: *

Email: *

Address: *

Postal code: *

(nominees must be a City of Leduc resident)

Phone (work):

Phone (home/cell): *

Age of the nominee: *

How long have they lived in Leduc? *

(NOTE: Influencers is available to City of Leduc youth only)

Please complete the fields below, as incomplete submissions will not be considered.

History *

Please provide a brief history of this individual and what makes them an emerging leader, community advocate or positive influence on others: (minimum of 400 words)

Achievements *

Please share how the nominee has brought recognition to Leduc: (max. 300 words)

Additional Comments:

You're welcome to attach up to three (3) letters of support for this nomination. (Minimum of two letters required)

Reference Letter 1 *

Files must be less than 8 MB.
Allowed file types: gif jpg jpeg png pdf doc docx.

Reference Letter 2 *

Files must be less than 8 MB.
Allowed file types: gif jpg jpeg png pdf doc docx.

Reference Letter 3

Files must be less than 8 MB.
Allowed file types: gif jpg jpeg png pdf doc docx.

Nominator information

We appreciate your time in nominating an outstanding young member of this community. As the nominator, we need your information in case any questions arise based on the information you provided.

Name: *

E-mail: *

Address: *

Postal code: *

Phone: *

Leave this field blank

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Influencers Nomination Form

Annual deadline: April 30