2024 Honorary Awards Nomination Form

R.D. Defries Award or Honorary Life Membership

CPHA keeps all nominations confidential to respect privacy and to avoid disappointment if the nominee is not selected. We ask that nominators and others involved respect this policy.

Select the award(s) for which the nominee is being nominated. You may nominate for more than one award:

NOMINEE (must be a CPHA member-in-good-standing)

Download form including your responses to PDF Excel