MTS Life Membership Award Form

Nominee

Nominee Name *

First

Last

Nominee Local Association

Nominee Primary Telephone *

Nominee Email *

Declaration of Nominee. I confirm that: *

I have carefully read the eligibility criteria and nomination guidelines for this award.
I am an eligible nominee as described in the nomination guidelines.
I agree to keep the results confidential until it is public.
If I am the successful recipient, I will provide the Society with photos and bios as requested.
If I am the successful recipient, I will attend the Annual General Meeting of Provincial Council in May 2025 to accept my award (expenses paid).
The statements in this nomination are complete and accurate, to the best of my knowledge.

Date *

1. Describe how your nominee promoted and advanced the cause of public education in Manitoba? Please provide specific examples. *

1200 word count max.

2. Describe how your nominee advanced and safeguarded the welfare of teachers in Manitoba? Please provide specific examples. *

1200 word count max.

3. Describe how your nominee advanced and safeguarded the teaching profession in Manitoba? Please provide specific examples. *

1200 word count max.

4. Describe how your nominee made a significant contribution to the Society? Please provide specific examples. *

1200 word count max.

5. Is there any additional information you would like to share in support of your nomination? *

1200 word count max.

6. Is your nominee retired? If not, why should this honour be conferred now? *

Yes
No

If not, why should this honour be conferred now? *

1200 word count max.

7. Has your nominee served as president of the Society? *

Yes
No

8. Has your nominee been a member of the Society and/or an employee of the Society for a minimum of 10 years? *

Yes
No

LETTERS OF RECOMMENDATION (3 max.)

You may submit up to three letters of recommendation from other MTS members in support of your nomination. Upload Adobe PDF or MS Word DOC files only.

File Upload

Submitted by: (Teachers' Association) *

Per: (President) *

Nominator

Nominator Name *

First

Last

Nominator Local Association

Nominator Primary Telephone *

Nominator Email *

Declaration of Nominator. I confirm that: *

I have carefully read the eligibility criteria and nomination guidelines for this award.
I am an eligible nominator as described in the nomination guidelines.
The nominee meets the eligibility criteria.
I agree to keep the results confidential until the nominee is notified.
I am unaware of any circumstances that would preclude this nominee from qualifying for this award.
The statements in my nomination are complete and accurate, to the best of my knowledge.

Date *

MTS Life Membership Award Form

Nominee

LETTERS OF RECOMMENDATION (3 max.)

Nominator

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