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Mandatory field *

Applicant's information

Salutation
First name *

Last name *

Name of organization *

Sector/division
Job title
Business number *

Business email *

Address *


City *

Province *

Postal code *

Organization's information

1.	Level of government or organization *	Federal, including agencies, boards and commissions Provincial/territorial, including agencies, boards and commissions Local/municipal, including agencies, boards and commissions Health care organizations, including hospitals, regional health authorities, LHINs, community/home care, long term care, etc. Educational organizations, including school boards, universities, colleges, etc. Not-for-profit organizations


2.	Current number of employees *


3.	Please provide a description of your organization *


4.	Name of project *


5.	Project description *	Describe in not more than 2000 words the initiative that was undertaken and how leadership played a key role in the successful achievement of the objectives. Please ensure that you respond to the question contained in the 7 criteria. To view criteria, click here. Please upload your file below (not to exceed 10MB). Allowed file types are doc, docx, pdf, ppt, pptx, xls, xlsx and zip.



6.	Please provide an executive summary of your project *
		(maximum 40 words)


7.	Nominator - name *

	Contact information *


Organization certification

		I understand that the information contained in this application is the property of IPAC and Deloitte and will be used solely for the purpose of its Public Sector Leadership Awards program. I certify that the information contained in this application is accurate and that I have obtained all necessary authorizations, including consents, to apply for this program and share this information. Please note that a description of the initiative will be used by IPAC and Deloitte in the promotion of the awards program. I agree to have my individual answers made available to the media for interview purposes.

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Applicant's information

Organization's information

Organization certification