Awards Recipient Information

Award Recipient Information

Please complete this form BY APRIL 15 to securely submit information needed to finalize processing of your award. If you have any questions, please contact us at info@itecanada.org

Award(Required)

Select which award(s) you are receiving:

Dr. Michel Van Aerde Memorial Transportation Scholarship

John Vardon Memorial Transportation Scholarship

ITE Canada Undergraduate Scholarship

John Morrall Innovation in Transportation Scholarship

Student Paper Competition

Student Presentation Competition

H. Robert Burton Distinguished Service Award

Outstanding Voluntary Contribution Award

Bunt David Tam Memorial Award

Rising Star Award

Jenn and Jan Voss Travel Bursary for Women in Transportation Engineering

Stan Teply Outstanding Technical Project Award

Outstanding Section or Section Momentum Award

Outstanding Student Chapter or Student Chapter Momentum Award

Name Printed on Award(Required)

Please provide your name exactly as you would like it to appear printed on your physical award. If you want a middle name or initial printed, add it to the "First" field.

First Last

Designations

If you would like designations on your physical award, provide them exactly as they should be printed. Please leave blank if you don't want any designations on your award.

Pronouns(Required)

Please indicate your pronouns which may be used in the awards ceremony or our publications

She/her

He/him

They/them

Other

Preferred Name

If you have a different preferred name or nickname you'd like us to use verbally during the awards ceremony and on social media, please provide that here

First

Name(Required)

First Last

Email(Required)

Company/Organization

ITE Section or Student Chapter(Required)

Project Title(Required)

Please provide the name of your project as you would like it to be printed on your award

Project Partners(Required)

Please provide the names of the companies, agencies, or other project partners exactly as they should be printed on the physical award.

Bio - Burton Award(Required)

Please provide a 150-200 word biography to be used in our communications

Bio - Individual Award(Required)

Please provide a 50-100 word biography to be used in our communications

Project Description(Required)

Please provide a 50-100 word description of your winning project to be used in our communications

Section/Student Chapter Highlights(Required)

Please provide 3-4 bullet points summarizing key highlights that helped your team win the award. Max 75 words.

Section/Student Chapter Size(Required)

Approximate membership total for your section/student chapter last year

Social Media Handles

Provide your and/or your company/organization's social media handles that can be tagged in pertinent posts on LinkedIn, Instagram, Facebook, etc

Awards Ceremony(Required)

Will you (or someone from your team for group awards) attend and accept your award at the ITE Canada 2025 Awards Luncheon to take place on Wednesday, June 4 in Halifax, Nova Scotia (12-1:30 pm)?

YES, I (or we) will attend

NO, I (or we) cannot attend

If yes, who from your team will attend?

Photo(Required)

Please upload a high-resolution photo of yourself (or your team for group awards) to be used at the awards ceremony and other communications

Accepted file types: jpg, png, Max. file size: 10 MB.

Information for Payment

Payment for 2025 monetary awards will be sent by Interac e-Transfer.

Email Address for Interac e-Transfer(Required)

Social Insurance Number(Required)

Required for issuing of tax receipt.

Mailing Address(Required)

The address where we can send tax receipts

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Banking Information

We pay awards through electronic funds transfer (EFT). Please provide your banking information.

Bank Info

This field is hidden when viewing the form

Bank Name

This field is hidden when viewing the form

Bank Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

This field is hidden when viewing the form

Bank Phone

This field is hidden when viewing the form

Branch Number

This field is hidden when viewing the form

Institution Number

This field is hidden when viewing the form

Account Number

Award Recipient Information

Please complete this form BY APRIL 15 to securely submit information needed to finalize processing of your award. If you have any questions, please contact us at info@itecanada.org

Award(Required)

Select which award(s) you are receiving:

Dr. Michel Van Aerde Memorial Transportation Scholarship

John Vardon Memorial Transportation Scholarship

ITE Canada Undergraduate Scholarship

John Morrall Innovation in Transportation Scholarship

Student Paper Competition

Student Presentation Competition

H. Robert Burton Distinguished Service Award

Outstanding Voluntary Contribution Award

Bunt David Tam Memorial Award

Rising Star Award

Jenn and Jan Voss Travel Bursary for Women in Transportation Engineering

Stan Teply Outstanding Technical Project Award

Outstanding Section or Section Momentum Award

Outstanding Student Chapter or Student Chapter Momentum Award

Name Printed on Award(Required)

Please provide your name exactly as you would like it to appear printed on your physical award. If you want a middle name or initial printed, add it to the “First” field.

First Last

Designations

If you would like designations on your physical award, provide them exactly as they should be printed. Please leave blank if you don’t want any designations on your award.

Pronouns(Required)

Please indicate your pronouns which may be used in the awards ceremony or our publications

She/her

He/him

They/them

Other

Preferred Name

If you have a different preferred name or nickname you’d like us to use verbally during the awards ceremony and on social media, please provide that here

First

Name(Required)

First Last

Email(Required)

Company/Organization

ITE Section or Student Chapter(Required)

Project Title(Required)

Please provide the name of your project as you would like it to be printed on your award

Project Partners(Required)

Please provide the names of the companies, agencies, or other project partners exactly as they should be printed on the physical award.

Bio – Burton Award(Required)

Please provide a 150-200 word biography to be used in our communications

Bio – Individual Award(Required)

Please provide a 50-100 word biography to be used in our communications

Project Description(Required)

Please provide a 50-100 word description of your winning project to be used in our communications

Section/Student Chapter Highlights(Required)

Please provide 3-4 bullet points summarizing key highlights that helped your team win the award. Max 75 words.

Section/Student Chapter Size(Required)

Approximate membership total for your section/student chapter last year

Social Media Handles

Provide your and/or your company/organization’s social media handles that can be tagged in pertinent posts on LinkedIn, Instagram, Facebook, etc

Awards Ceremony(Required)

Will you (or someone from your team for group awards) attend and accept your award at the ITE Canada 2025 Awards Luncheon to take place on Wednesday, June 4 in Halifax, Nova Scotia (12-1:30 pm)?

YES, I (or we) will attend

NO, I (or we) cannot attend

If yes, who from your team will attend?

Photo(Required)

Please upload a high-resolution photo of yourself (or your team for group awards) to be used at the awards ceremony and other communications

Accepted file types: jpg, png, Max. file size: 10 MB.

Information for Payment

Payment for 2025 monetary awards will be sent by Interac e-Transfer.

Email Address for Interac e-Transfer(Required)

Social Insurance Number(Required)

Required for issuing of tax receipt.

Mailing Address(Required)

The address where we can send tax receipts

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Banking Information

We pay awards through electronic funds transfer (EFT). Please provide your banking information.

Bank Info

This field is hidden when viewing the form

Bank Name

This field is hidden when viewing the form

Bank Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

This field is hidden when viewing the form

Bank Phone

This field is hidden when viewing the form

Branch Number

This field is hidden when viewing the form

Institution Number

This field is hidden when viewing the form

Account Number