<form-template> <fields> <field type="text" subtype="text" required="true" label="Name/Team/Group of nominee:" class="form-control text-input" name="text-1650316176520"></field> <field type="text" subtype="text" required="true" label="Address of nominee:" class="form-control text-input" name="text-1650316176676"></field> <field type="text" subtype="text" required="true" label="Town:" class="form-control text-input" name="text-1650316176842"></field> <field type="text" subtype="text" required="true" label="Province:" class="form-control text-input" name="text-1650316177018"></field> <field type="text" subtype="text" required="true" label="Postal Code:" class="form-control text-input" name="text-1650316177167"></field> <field type="text" subtype="text" required="true" label="Phone number of nominee:" class="form-control text-input" name="text-1650316177310"></field> <field type="text" subtype="text" label="Email of nominee:" class="form-control text-input" name="text-1650316177487"></field> <field type="text" subtype="text" label="Date and location of achievement (if applicable):" class="form-control text-input" name="text-1650316177650"></field> <field type="select" required="true" label="Nomination is for:" class="form-control select" name="select-1650316182367"> <option value="Select One" selected="true">Select One</option> <option value="Humanitarianism">Humanitarianism</option> <option value="Exceptional Achievement in Profession, Sports or the Arts">Exceptional Achievement in Profession, Sports or the Arts</option> <option value="An Act of Heroism or Bravery">An Act of Heroism or Bravery</option> </field> <field type="textarea" required="true" label="Description of accomplishments:" class="form-control text-area" name="textarea-1650316185027"></field> <field type="textarea" label="Supporting Comments:" class="form-control text-area" name="textarea-1650316185197"></field> <field type="paragraph" subtype="p" label="Additional pages may be used to complete your submission. Supporting documentation may be attached, however, please do not forward originals. Nominations become the property of the Municipality of Jasper. 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-1650316188389"></field> <field type="text" subtype="text" required="true" label="Name of nominator:" description="A nominator may not be a member of the nominees immediate family. " class="form-control text-input" name="text-1650316197419"></field> <field type="text" subtype="text" required="true" label="Address:" class="form-control text-input" name="text-1650316197637"></field> <field type="text" subtype="text" required="true" label="Town:" class="form-control text-input" name="text-1650316197821"></field> <field type="text" subtype="text" required="true" label="Province:" class="form-control text-input" name="text-1650316198017"></field> <field type="text" subtype="text" required="true" label="Postal Code:" class="form-control text-input" name="text-1650316198221"></field> <field type="text" subtype="text" required="true" label="Phone number of nominator:" class="form-control text-input" name="text-1650316198415"></field> <field type="text" subtype="text" label="Email of nominator:" class="form-control text-input" name="text-1650316198611"></field> <field type="text" subtype="text" required="true" label="Type your name in lieu of a signature:" class="form-control text-input" name="text-1650316198799"></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-1650316198987"></field> <field type="text" subtype="text" required="true" label="Address:" class="form-control text-input" name="text-1650316199197"></field> <field type="text" subtype="text" required="true" label="Town:" class="form-control text-input" name="text-1650316199697"></field> <field type="text" subtype="text" required="true" label="Province:" class="form-control text-input" name="text-1650316199937"></field> <field type="text" subtype="text" required="true" label="Province:" class="form-control text-input" name="text-1650316200133"></field> <field type="text" subtype="text" required="true" label="Postal Code:" class="form-control text-input" name="text-1650316200341"></field> <field type="text" subtype="text" required="true" label="Phone number of seconder:" class="form-control text-input" name="text-1650316200533"></field> <field type="text" subtype="text" label="Email of seconder:" class="form-control text-input" name="text-1650316200755"></field> <field type="text" subtype="text" required="true" label="Type your name in lieu of a signature:" class="form-control text-input" name="text-1650316702350"></field> </fields> </form-template> Submit Submitting...
