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THE PROFESSIONAL INSTITUTE OF THE PUBLIC SERVICE OF CANADA 
PRESIDENT’S ACHIEVEMENT AWARD 
          NOMINATION FORM 
The President's Achievement Award recognizes an individual who has demonstrated a high level 
of commitment in promoting professionalism and/or an outstanding achievement in the 
Nominee's profession. 
This Nomination Form should be read and used in conjunction with PIPSC By-Law 26.8, 
Regulation 26.8 and the PIPSC President’s Achievement Award Nomination Guidelines. 
Criteria to be Applied 
1.   To be eligible for this award, a Nominee must be, or have been a member of the Institute in 
good standing, and employed in a classification represented by PIPSC.  
 
2.  The achievement being recognized must have been performed while the Nominee was a 
member of the Institute. 
 
3.   The Nominee must have demonstrated a high level of commitment in promoting 
professionalism and, meet at least one of the following criteria: 
 
  a contribution of exceptional professional dedication under extraordinary 
circumstances or exceptional contribution  in professional team building, 
management practices or client relations and service; 
 
  successful completion of a project, the results of which reflect a high order of merit; 
 
  an outstanding, unique achievement , innovation, or trend-setting initiative in the 
nominee’s profession. 
 
4.   Any individual or group may nominate any eligible person.  Previous nominations for this 
award may be resubmitted. 
5.  Achievements within the previous two (2) years will be given greater weight in the selection 
process. 
6.   The Nomination Form must be completed as thoroughly as possible and should not exceed 
three (3) pages (incomplete nominations will be returned to the Nominators for completion 
or will not be considered). 
 
7.   Supplemental information in support of the nomination may be attached to the completed 
Nomination Form.  As supporting documentation will not be returned, original papers