Cabosse Award

Cabosse Award nomination form

School name*
Postal adress*
City*
Province*
Zip code*
Information about the person who submits the application
Name*
First Last
Title*
Phone number*
E-mail*
Nomination
Who do you want to nominate? It can be a student, a group of student, a class or a school.
What type of nomination do you want to do?*
- Student
- Group of student
- Class
- School
Student's name*
First Last
In what grade is the student?*

Students names*

List the students you want to nominate. Specify their first and last names.

In what grade are the students?*
Name of the class*
In what grade is this class?*
Name of the school*
Implication description
Describe your involvement in the Leucan Halloween Campaign.*
Why do you want to nominate this student, group of students, class or school?*
Develop on how the person or the group of person you want to nominate demonstrates solidarity, dedication and empathy.