Ernie Boruk Award Nomination

Criteria:

Nominees can be either an active or no longer active on-ice official
Nominees have made an outstanding contribution to hockey officiating in Alberta at the provincial level
Nominees are or were members in good standing
Nominees have been or were involved for a minimum of fifteen years with at least five years of administration (ie: zone executive member or local RIC)

Nominations:

Must be received no later than April 1
Must have accompanying documentation outlining the nominee’s contribution
Must be submitted to Hockey Alberta’s Manager of Officiating
Nominations will be brought forward for two years in addition to the original nomination year.

Ernie Boruk Award Nomination

Nomination Form for the Ernie Boruk Award.

Required Fields *

Nominator Information

First Name: *

Last Name: *

Official’s Region: *

Email: *

Phone: * () - -

Nominee Information

First Name: *

Last Name: *

Address: *

City: *

Email: *

Phone: * () - -

Number of Years Officiating: *

Number of Years Administration: *

Official’s Region: *

Accomplishments/ Contributions at the Provincial Level: *

Other Officiating Involvement/ Contributions:

Attestation of Nominator

Please check if you agree with the following: * I certify that the information included in this form is accurate and truthful to the best of my knowledge

Ernie Boruk Award Nomination

Ernie Boruk Award Nomination

Nominator Information

Nominee Information

Attestation of Nominator

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