1.1   Enter your full name - surname last  

your e-mail address  

and your IEEE membership number  

1.2   Select the activity where you interacted with your nominee that best describes why you believe this candidate is worthy of this prize:   WIE activities GOLD activities Section activities IEEE Canada activities University or College Industry or Government Other
if you selected "Other", please provide a short descriptor  

2.1   Enter her full name - surname last

her e-mail address  

and her IEEE membership number  

and her current IEEE Section   Canadian IEEE Sections Canadian Atlantic Hamilton Kingston Kitchener-Waterloo London Montreal New Brunswick Newfoundland & Labrador North Saskatchewan Northern Canada Ottawa Peterborough Quebec Saint Maurice South Saskatchewan Southern Alberta Toronto Vancouver Victoria Winnipeg

2.2   Select the university where she obtained her undergraduate degree from this list: Canadian Universities and Colleges Acadia University Carleton University Concordia University Dalhousie University École Polytechnique Montréal Lakehead University Laval University McGill University McMaster University Memorial University Queens University Royal Military College Ryerson Polytechnic University Simon Fraser University University of Alberta University of British Columbia University of Calgary University of Guelph University of Manitoba University of New Brunswick University of Ontario Institute of Technology University of Ottawa Université du Québec à Chicoutimi Université du Québec à Montréal Université du Québec à ETS Montréal Université du Québec à Trois-Rivières University of Regina University of Saskatchewan Université de Sherbrooke University of Toronto University of Victoria University of Waterloo A University of Waterloo B University of Western Ontario University of Windsor Algonquin College Connestoga College Niagara College Red River College Saint Clair College Seneca College Enter name at right if not listed
  Enter name if not listed  

and enter the name of her academic program     (e.g. electrical engineering)

and the year of graduation

3.1   Provide graduating class standing, overall grade, honours, and other recognitions
        (up to 300 characters)

3.2   Describe non-IEEE extracurricular activities while studying
        (up to 300 characters)

3.3   Describe IEEE volunteer activities within her student branch and since graduation
        (not GOLD or WIE related)     (up to 600 characters)

3.4   Describe any IEEE GOLD or WIE volunteer activities your nominee participated in -
        especially noting achievements     (up to 600 characters)