2012 Nomination Form 

Fields with * are mandatory. 1. Name of student entrepreneur nominee.* 2. Nominee’s e-mail address.* 3a. Nominee’s business phone number.* 3b. Nominee’s cell phone or secondary phone number (different from the business phone number). 4. Nominee’s company name. 5. Type of business(i.e. manufacturing, service, IT, etc.) 6. Nominee’s university or college.* Name of university or college Other Acadia University Bishop's University Brandon University British Columbia Institute of Technology Brock University Cape Breton University Carleton University College of the North Atlantic - Clarenville College of the North Atlantic - Corner Brook College of the North Atlantic - Grand Falls - Windsor College of the North Atlantic - St. John’s College of the North Atlantic - Stephenville Concordia University Dalhousie University DeVry Institute of Technology - Calgary Fanshawe College George Brown College Humber College Kwantlen Polytechnic University Lakehead University Laurentian University Loyalist College McGill University Memorial University of Newfoundland Memorial University of Newfoundland - Grenfell Campus Mount Allison University Mount Royal University Mount Saint Vincent University NAIT Niagara College - Glendale Nova Scotia Community College - Kingstec Okanagan College Queen's University Royal Roads University Ryerson University Saint Mary's University SAIT Polytechnic Seneca College Simon Fraser University St. Francis Xavier University St. Lawrence College Thompson Rivers University Université de Moncton Université Sainte-Anne University of Alberta University of British Columbia University of Calgary University of Manitoba University of Ontario Institute of Technology University of Ottawa University of Prince Edward Island University of Regina University of Saskatchewan University of Toronto University of Toronto - Mississauga Campus University of Toronto - Scarborough Campus University of Victoria University of Western Ontario University of Windsor Wilfrid Laurier University York University Other If Other: 7. Nominator’s name (if not self nominating). 8. Nominator’s e-mail address (if not self nominating). 9. Nominator’s home phone number (if not self nominating). 10. Nominator’s university/college or organization (if not self nominating). Name of university or college Other Acadia University Bishop's University Brandon University British Columbia Institute of Technology Brock University Cape Breton University Carleton University College of the North Atlantic - Clarenville College of the North Atlantic - Corner Brook College of the North Atlantic - Grand Falls - Windsor College of the North Atlantic - St. John’s College of the North Atlantic - Stephenville Concordia University Dalhousie University DeVry Institute of Technology - Calgary Fanshawe College George Brown College Humber College Kwantlen Polytechnic University Lakehead University Laurentian University Loyalist College McGill University Memorial University of Newfoundland Memorial University of Newfoundland - Grenfell Campus Mount Allison University Mount Royal University Mount Saint Vincent University NAIT Niagara College - Glendale Nova Scotia Community College - Kingstec Okanagan College Queen's University Royal Roads University Ryerson University Saint Mary's University SAIT Polytechnic Seneca College Simon Fraser University St. Francis Xavier University St. Lawrence College Thompson Rivers University Université de Moncton Université Sainte-Anne University of Alberta University of British Columbia University of Calgary University of Manitoba University of Ontario Institute of Technology University of Ottawa University of Prince Edward Island University of Regina University of Saskatchewan University of Toronto University of Toronto - Mississauga Campus University of Toronto - Scarborough Campus University of Victoria University of Western Ontario University of Windsor Wilfrid Laurier University York University Other If Other: 11. Where did you hear about this competition?* Select One Faculty member SIFE team member Facebook Other If Other: 12. If applicable, please tell us who introduced you to this competition: 12a. Name: 12b. Title/organization: 12c. E-mail address: 13. Would you like to receive a monthly e-newsletter from ACE? YesNo