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Awards Recipient Information

Home / Awards Recipient Information

Awards Recipient Information

Awards Recipient Information

Award Recipient Information

This form is used to capture award recipient information.

Please complete this form BY APRIL 30 to securely submit information needed to finalize processing of your award. If you have any questions, please contact ITE Canada at awards@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

ITE Canada/WATT Consulting Group “Transportation in a Sustainable World” Student Award

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(Required)

Please provide your name as you would like it to appear on your award. Prefix and Middle name are not required. For group awards, the company/organization name will be printed on the award.

Prefix First Middle or Initials Last

Project Title(Required)

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

Company/Organization/Institution(Required)

Please provide your company, organization, or university/college name(s) as you would like it to appear on your award.

Preferred Pronouns(Required)

Please indicate your preferred pronouns.

Email(Required)

Social Insurance Number(Required)

Required for issuing of tax receipt.

Mailing Address(Required)

The address where we can send tax receipts or your award if not attending the awards luncheon.

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

Bio - Burton Award(Required)

Please provide a 150-200 word biography to be used at the awards ceremony.

Bio - Individual Award(Required)

Please provide a 50-100 word biography to be used at the awards ceremony and ITE Canada Communications

Project Description(Required)

Please provide a 50-100 word description of your winning project to be used at the awards ceremony and in ITE Canada communications

Section/Student Chapter Highlights(Required)

Please provide 3-4 bullet points summarizing key highlights that helped your section 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 your company/organization's, if desired) social media handles that can be tagged in pertinent posts on LinkedIn, Twitter, Instagram, and Facebook

Awards Ceremony

The 2024 Awards Ceremony will take place on Wednesday, June 12 in Hamilton, Ontario at the conference closing luncheon. For Sections/Chapters, please check whether you or someone else from your group will be present to accept the award.

YES, I/We will be attending the Awards Ceremony

Photo(Required)

Please upload a high-resolution photo of yourself (or your team for group awards) to be used at the awards ceremony and in ITE Canada publications.

Accepted file types: jpg, png, Max. file size: 128 MB.

Banking Information

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

Bank Info

Bank Name

Bank Address

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

Bank Phone

Branch Number

Institution Number

Account Number

Δ

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