Trailblazer Award Nomination Form CSPC 2025

Nominator’s Information

First Name *

Last Name *

E-mail *

Phone *

Address

City *

Province/State *

Country *

Institution/organization/government/municipality *

How did you learn of the nomination process?
—Please choose an option—FacebookTwitterLinkedInCSPC websiteOther

Please specify if Other

Nominee's Information

First Name *

Last Name *

E-mail *

Institution/organization/government/municipality *

Trailblazer Award Category *
Select which category applies to the Nominee. Please ensure the selection of the appropriate category—if the wrong category is selected for a qualified candidate, it will not be considered. For a description of each category, please see the Trailblazer Criteria page.

Science for PolicyPolicy for ScienceInnovation PolicyScience & Society

Nominee’s Biography *
(No more than 400 words)

Selection Criteria:

Impact Statement: Describe how the Nominee’s work has (1) catalyzed change and (2) impacted Canadian Science, Technology, Innovation and Society. Please use quantitative and/or qualitative data to demonstrate the significance and transformative impact of the Nominee’s contributions. *
(No more than 800 words)

Specifically describe:

• The depth and breadth of the impact.

• The novelty and creativity of the work.

Area(s) of Impact:

The Nominee must have catalyzed change that has had a positive and significant impact on Canadian Science, Technology, Innovation and Society through one, or up to three, of the following:*

Specifically describe:

• Relevance to Area(s) of Impact: Describe how the work and the impact of the Nominee’s contribution are relevant to each selected Area of Impact

• Role of Nominee in Impact: Elaborate on the contribution the Nominee played in driving the impact and achieving the results.

Policy making

Advancing research

Mobilizing knowledge

Community-building

Championing/advocating

Capacity-building

Enhancing productivity/economic development

Enhancing social innovation

Public Engagement/Education

Leadership and Dedication:

Describe how the Nominee has demonstrated leadership, dedication and sustained commitment to the advancement of science, innovation and society. * (Maximum 400 words)

Required Document:

Nominee’s CV *
Please upload the Nominee’s CV (maximum 5 pages) to this nomination.

Files must be less than 8 MB.
Allowed file types: gif|jpg|jpeg|png|pdf|doc|docx|ppt|pptx.

Additional Sources of Information
(Please list specific sources that the judges can consult for more information about the Nominee, e.g., websites, books, articles, reports, films, etc.)