Yukon Geoscience Forum - Member Award Nomination Form

At this year’s Yukon Geoscience Forum, the Yukon Chamber of Mines will honour a YCM member (either an individual or a corporation) who has undertaken mineral exploration or development activities in the Yukon within the last 12 months, and who has exemplified modern development practices by contributing toward the development of healthier communities, protecting the natural environment, and helping to develop a vibrant economy for present and future generations.

Note: Deadline for submissions is October 22nd, 2019 at 11:59 pm (PST). Late submissions will not be accepted.

Nominator Information

Nominator's Name(*)

Please let us know your name.

Email Address of Nominator(*)

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Telephone Number of Nominator(*)

please input a phone number with area code in the form: 123-456-7890

Nominator's Address

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Nominee Information

Nominee's Name(*)

Please let us know your name.

Nominee's Email Address(*)

Please let us know your email address.

Nominee's Telephone Number (*)

please input a phone number with area code in the form: 123-456-7890

Nominee's Address

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Please indicate how the Nominee meets each of the following criteria:

Undertook effective engagement with local communities and the general public
Engaged early and respectfully with affected First Nations governments
Operated in an environmentally responsible manner, mitigated environmental impacts, and worked to reduce the environmental footprint of the project or the project activities.

(*)

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2019 Yukon Chamber of Mines Member Award Nomination Form

Nominator Information

Nominee Information

Please indicate how the Nominee meets each of the following criteria: