<form-template> <fields> <field type="text" subtype="text" required="true" label="Name, team or group of nominee:" class="form-control text-input" name="text-1650315342579"></field> <field type="radio-group" required="true" label="Is the Nominee under 18?" class="radio-group" name="radio-group-1786463224431"> <option value="under 18" selected="true">Yes, they are a youth</option> <option value="over 18">No, they are an adult</option> <option value="group with varied ages">This is a group with various ages</option> </field> <field type="text" subtype="text" required="true" label="Full address of nominee:" class="form-control text-input" name="text-1650315342749"></field> <field type="text" subtype="text" required="true" label="Phone number of nominee:" class="form-control text-input" name="text-1650315342909"></field> <field type="text" subtype="text" label="Email of nominee:" class="form-control text-input" name="text-1650315343075"></field> <field type="select" label="Nomination is for:" class="form-control select" name="select-1650315347697"> <option value="Select Option" selected="true">Select Option</option> <option value="A specific event">A specific event</option> <option value="Continuous service">Continuous service</option> </field> <field type="text" subtype="text" label="Date and location of achievement (if applicable):" class="form-control text-input" name="text-1650315349325"></field> <field type="textarea" required="true" label="Describe why this nominee deserves this award:" class="form-control text-area" name="textarea-1650315350309"></field> <field type="paragraph" subtype="p" label="Additional documents may be attached to complete your submission. The Selection Committee reserves the right to assign a nomination to an alternate category, provided the nominator agrees to the reassignment." class="paragraph"></field> <field type="file" label="Upload additional documents:" class="form-control file-input" name="file-1650315355119"></field> <field type="text" subtype="text" required="true" label="Name of nominator:" class="form-control text-input" name="text-1650315356991"></field> <field type="text" subtype="text" required="true" label="Full address of nominator:" class="form-control text-input" name="text-1650315357449"></field> <field type="text" subtype="text" required="true" label="Phone number of nominator:" class="form-control text-input" name="text-1650315357791"></field> <field type="text" subtype="text" label="Email of nominator:" class="form-control text-input" name="text-1650315358049"></field> <field type="text" subtype="text" required="true" label="Signature of nominator:" description="Type your name in lieu of signature." class="form-control text-input" name="text-1650315358415"></field> <field type="text" subtype="text" required="true" label="Name of seconder:" class="form-control text-input" name="text-1650315359349"></field> <field type="text" subtype="text" required="true" label="Full address of seconder" class="form-control text-input" name="text-1650315359743"></field> <field type="text" subtype="text" required="true" label="Phone number of seconder:" class="form-control text-input" name="text-1650315363353"></field> <field type="text" subtype="text" label="Email of seconder:" class="form-control text-input" name="text-1650315363531"></field> <field type="text" subtype="text" required="true" label="Signature of seconder:" description="Type your name in lieu of a signature." class="form-control text-input" name="text-1650315363718"></field> <field type="paragraph" subtype="p" label="Notice of Collection of Personal Information - The Municipality is collecting personal information including names; emails; phone numbers; and personal opinions/back ground; under the authority of Section 4(c) of Alberta’s Protection of Privacy Act. This information will be used by the Municipality for the purpose of administrating the Mayor’s Awards program. The Municipality may use and disclose your personal information where permitted or required to by law, including where permitted by the Access to Information Act or Protection of Privacy Act. If you have any questions about the collection of your personal information, you may contact the Municipality’s Privacy Officer at privacy@jasper-alberta.ca." class="paragraph"></field> </fields> </form-template> Submit Submitting...
