Carleton University Honorary Degree Nomination Form

Honorary Degree Nomination Form

Please submit your nomination using the below online form. Note that you must complete all mandatory fields (indicated by the red asterisk), including the consent checkbox at the bottom of the page or the nomination will not be submitted. It is recommended to save your answers in a word document before submitting. For those who prefer to submit their nomination by email, click here to download the PDF form.

Once submitted, you will receive an email confirmation. If you do not receive this confirmation, please contact Kathy McKinley, Assistant University Secretary at Kathy.McKinley@carleton.ca or 613-520-2600 x3386. Otherwise, the Senate office will follow up on your application in the coming weeks.

Nominations may be submitted at any time, but are considered by the committee only twice per year. Nominations are submitted in strict confidence and should therefore not be discussed with the intended nominee.

Please note that incomplete nominations will not be considered.

Nominee Information
Please provide the contact information of the individual you are nominating.
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Extension (if applicable)
Email*
Association with and/or service to Carleton University*
If the nominee has an association with and/or has provided significant service to Carleton University, please provide a brief description (100 words maximum)
Most outstanding intellectual achievements*
List and provide sources for your information. Examples include academic background, degrees held including honorary degrees (100 words maximum)
Most outstanding professional achievements?*
List and provide sources for your information. Examples include positions held, with dates if available and any other honours (100 words maximum)
Additional accomplishments
List and provide sources for your information. Examples include publications, research, creative work; contributions that highlight or bring distinction to your recommendation of this nominee (100 words maximum)
Short citation highlighting the nominee's achievements and contributions for use in the awarding of the degree*
Examples: “In recognition of an outstanding contribution in….” “In recognition of a distinguished career in…..” (20 words maximum)
Statement*
Explain why Carleton should award this candidate an honorary degree at this time or in the near future (100 words maximum)
Letters of Support
Two letters of support should be submitted from individuals who are familiar with the candidate’s achievements. The letters should state the relationship of the writer to the candidate, and should complement the information provided on this form by providing a broader context for the candidate’s accomplishments and their impact. Please ensure that individuals supplying these letters are informed of the need to maintain strict confidentiality. Letters of Support may be sent separately to senate.office@carleton.ca
Letter of Support #1
Name of supporter #1
Title
Email
Phone
Extension (if applicable)
Letter of Support #2
Name of supporter #2
Title
Email
Phone
Extension (if applicable)
Nominator Information
Please provide your contact information.
Name*
First Last
Title*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
Extension (if applicable)
Would you like to add a second nominator?
Name
First Last
Title
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Phone
Extension (if applicable)
Additional Documents
Provide any additional supporting documents.
Files
Drop files here or
Consent*
I certify that all information provided is true and can be used for the Carleton University Honorary Degree nomination process.
Privacy Information
Personal information collected through this form will be used and disclosed by Carleton University under the authority of the Carleton University Act, 1952, and in accordance with sections 39, 41 and 42 of Ontario’s Freedom of Information and Protection of Privacy Act. The purpose of this processing is to administer the application and nomination process for a Carleton University Honorary Degree. If you have any questions about the processing of personal information by Carleton University, please contact the Manager, Privacy & Access to Information, by phone at 613-520-2600 ext. 2047 or by e-mail via University_Privacy_Office@carleton.ca.
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Carleton University Honorary Degree Nomination Form

Honorary Degree Nomination Form

Nominee Information

Letters of Support

Nominator Information

Additional Documents

Privacy Information