Nomination deadline: Thursday, January 31, 2019 at 11:59 p.m.

Name of nominee:
Nominee's year of study:


Nominee's extracurricular activities:
In no more than 500 words, please explain what the nominee has done during their time at Mount Allison and what makes you want to nominate this individual for this award.

Name of nominator:

E-mail of nominator: