<form-template> <fields> <field type="text" subtype="text" required="true" label="Name, team or group of nominee:" class="form-control text-input" name="text-1650313331691"></field> <field type="radio-group" required="true" label="Is the Nominee under 18?" description="Is this for the youth category" class="radio-group" name="radio-group-1786635585646"> <option value="yes, under 18" selected="true">Yes, they are a youth</option> <option value="No, adult">No, they are an adult</option> <option value="varied age">This is a group with multiple ages</option> </field> <field type="text" subtype="text" required="true" label="Full address of nominee:" class="form-control text-input" name="text-1650313332160"></field> <field type="text" subtype="text" required="true" label="Phone number:" class="form-control text-input" name="text-1650313333166"></field> <field type="text" subtype="text" label="Email of nominee:" class="form-control text-input" name="text-1650313333688"></field> <field type="select" required="true" label="Nomination is for:" class="form-control select" name="select-1650313338438"> <option value="Select One" selected="true">Select One</option> <option value="A specific achievement">A specific achievement</option> <option value="A series of achievements">A series of achievements</option> </field> <field type="text" subtype="text" label="Date and time of achievement (if applicable):" class="form-control text-input" name="text-1650313342082"></field> <field type="textarea" required="true" label="Brief Description of nominee:" class="form-control text-area" name="textarea-1650313343414"></field> <field type="textarea" label="Description of accomplishments (exhibitions, awards, scholarships, etc):" class="form-control text-area" name="textarea-1650313344643"></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-1650313350633"></field> <field type="text" subtype="text" required="true" label="Name of nominator:" description="A nominator may not be a member of the nominee's immediate family. " class="form-control text-input" name="text-1650313354747"></field> <field type="text" subtype="text" required="true" label="Full address of nominator:" class="form-control text-input" name="text-1650313355095"></field> <field type="text" subtype="text" required="true" label="Phone number of nominator:" class="form-control text-input" name="text-1650313355497"></field> <field type="text" subtype="text" label="Email of nominator:" class="form-control text-input" name="text-1650313356141"></field> <field type="text" subtype="text" required="true" label="Type your name in lieu of a signature:" class="form-control text-input" name="text-1650313356676"></field> <field type="text" subtype="text" required="true" label="Name of seconder:" description="A seconder may not be a member of the nominee's immediate family. " class="form-control text-input" name="text-1650313357163"></field> <field type="text" subtype="text" label="Full address of seconder:" class="form-control text-input" name="text-1650313357641"></field> <field type="text" subtype="text" required="true" label="Phone number of seconder:" class="form-control text-input" name="text-1650313358117"></field> <field type="text" subtype="text" label="Email of seconder:" class="form-control text-input" name="text-1650313358709"></field> <field type="text" subtype="text" required="true" label="Type name of seconder in lieu of signature:" class="form-control text-input" name="text-1650313359165"></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...
