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The Basics

*First Name:

*Last Name:

*City/Town

*Province/Territory

*Field of Study

*Career Objective

*List your awards and achievements (including $ amounts if applicable)

What’s your success story?

May we use your comment/picture on our website?

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Contact Information

*Email Address

In the event that we have questions or would like more information about your story, please provide a phone number so we can contact you.

Telephone

Please either enter a valid Canadian or U.S. phone number. ie. 416-322-3210-123 or +1(416)322-3210-123 or remove any text.

Please upload a picture

*May we use your name, information, and/or picture on the Studentawards’ website and communications?

Yes
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