Nomination Form

The PHE Canada Research Council Circle of Distinction Status honours members of the Research Council who, through their research and scholarship have made a distinguished contribution to the advancement of the field of physical and health education, and have given exceptional service to this organization throughout their scholarly careers.

Candidate Information

First Name

Last Name

Province

E-mail Address

Phone Number

Current Position

Title

Organization

Please check the box if the candidate:

Has made a distinguished contribution to the advancement of the field of physical and health education

Has given exceptional service to the PHE Canada Research Council throughout their scholarly career

Has been a long-standing member of the Research Council

Is 20+ years post-doctorate (or equivalent terminal degree) from an accredited institution

Holds a rank of Associate or Full Professor

First Nominator

First Name

Last Name

Address

Address Line 2

City

Province

Postal Code

Phone Number

E-mail Address

Is the first nominator currently a member of the PHE Canada Research Council?

Only Members of the PHE Research Council can nominate. Register to become a Research Council member.

Second Nominator

First Name

Last Name

Address

Address Line 2

City

Province

Postal Code

Phone Number

E-mail Address

Is the second nominator currently a member of the PHE Canada Research Council?

Only Members of the PHE Research Council can nominate. Register to become a Research Council member.

Letters of Reference

Reference Letter - First Nominator

One file only.
512 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods, jpg, png, jpeg.

I will send the first nominator's letter by fax or mail.

Reference Letter - Second Nominator

One file only.
512 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods, jpg, png, jpeg.

I will send the second nominator's letter by fax or mail.

Please attach letters of reference for the candidate. If you would prefer to send the letters by mail or fax indicate so. All letters must be signed by the referee.

Important Note

Letters of recommendation must be received from two separate nominators for the same nominee before the selection process begins. They can be sent to:

Attn: Research Council
Physical and Health Education Canada
2451 Riverside Drive
Ottawa, ON
K1H 7X7
Email: [email protected]
Fax: 613-523-1206

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Research Council Circle of Distinction

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Nomination Form

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