Nominator Information
Nominator Name
Nominator Email
Nominee (Participant Information)
WMI Program Nomination?
Which Program are you making a nomination for?
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Entrepreneurial Leaders Program(ELP) for CEOs & Business Owners
Strategic Executives Program(SEP) for Seniors Executives & Management
ECHO For Next Generation Family Owned Businesses Leaders
Unsure of which program
Indicate which program you are nominating this individual for and optionally, why.
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Nominee's First Name
Nominee's Last name
Nominee's Email
Nominee's Organization
Title of Nominee (optional)
Nominee's Phone (optional)
Nominee's primary city of residence
Region
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NB - Bathurst Region
NB - Edmundston Region (to Saint-Quentin)
NB - Fredericton Region
NB - Grand Falls Region
NB - Miramichi Region (Doaktown-Richibucto)
NB - Moncton Region (Petitcodiac-Bouctouch)
NB - Saint John Region (St Stephen-Sussex)
NL - Central Region (Gander)
NL - St John's Region (Avalon / Eastern)
NL - Western Region (Cornerbrook - Labrador)
NS - Halifax Region (HRM)
NS - Northeast Region (Antigonish, Guysborough, Cape Breton)
NS - Northwest Region (Truro, Amherst, New Glasgow)
NS - South Shore Region (Yarmouth, Shelburne, Lunenburg)
NS - Valley Region (Windsor - Digby)
Outside GAA Region
PEI - Charlottetown Region
PEI - Rural Regions
PEI - Summerside Region
Province
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Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territories
Country
Please feel free to elaborate on any other details about the Nominee
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