ࡱ> `b_n[ =bjbj jj%lL L L L  ~"~"~"8"<"T .u(R#R#b#b#x#,6,, ttttttt$Vx vzNt -+,--t4L L b#x#}t444-@L b# x#t4-t445;N1q> tx#F# 08?f$ j~"C-prtt0.usz-zt4  L L L L    MY ROLE MODEL  Must be an Aboriginal youth between 13 and 30 years old. MY INFORMATION  Must be an Aboriginal youth between 13 and 30 years old to nominate. ROLE MODEL INFORMATION Please fill in the categories that apply to your role model (minimum of 4). Pleased provide detailed examples of each category you have chosen. Attach additional paper if needed. A volunteer (e.g., they work for free at community events, with Elders, etc.) An excellent student (e.g., they work hard for good grades, etc.) Learning and sharing traditional teachings (e.g., customs, hunting, cooking, etc.) An inspiring athlete (e.g., they take part in many sports, or they are very good at one sport, etc.) Keeping an Aboriginal language alive through speaking or learning it A talented performer (e.g., your role model is a talented fancy dancer, singer, actor, etc.) A healthy person (e.g., your role model does not smoke, eats healthy foods, exercises etc.) A helpful person (e.g., they help others with their work, they treat others with respect and care, etc.) A creative person (e.g., they tell good stories, write songs, paint, make nice crafts, etc.) An entrepreneur (e.g., starting their own business, already run their own business, or co-own a business) Funny (e.g., they tell good jokes and know how to make people happy through laughter) Overcoming adversity (e.g., they have lost family members or have had a difficult life but are trying to move on with their life in a positive way) What other impacts has your role model had on you, or in your community (e.g., won awards, etc.) MY REFERENCES CHECKLIST The nomination form must be fully completed along with signatures (nominator and references). The role model and nominator must be Aboriginal youths between the ages of 13 and 30 years old. A short biography of your role model, 1-2 pages (optional). Letters of support from references (optional). Copies of other supporting documentations (optional). Photo of role model (optional). Please send your nomination form to: National Aboriginal Role Model Program C/o National Aboriginal Health Organization 220 Laurier Avenue West, Suite 1200 Ottawa, ON K1P 5Z9 Or fax to: (613) 233-1853 An online nomination form is also available at www.naho.ca/rolemodel. Deadline for nomination forms is no later than April 2, 2007. For more information, please contact the National Aboriginal Role Model Program at: Telephone: (613) 237-9462 ext. 548 Toll-free: 1-(877)-602-4445 ext. 548 Email: leadyourway@naho.ca Aboriginal youth nominating Aboriginal youth! PAGE   EMBED Microsoft Word Picture  Name: Address: City/Town: Province/Territory: Postal code: Occupation: Telephone: ( ) Date of Birth: mm/dd/yyyy Ancestry: ( First Nation ( Inuit ( Mtis First Nation/Home community: Name: Address: City/Town: Province/Territory: Postal code: Occupation: Telephone: ( ) Date of Birth: mm/dd/yyyy E-mail: Ancestry: ( First Nation ( Inuit ( Mtis First Nation/Home community: To complete this nomination form, you must have signatures from three different people from the following categories: youth, professional, and individual. They must know your role model and agree with this nomination. Make sure that you (nominator) provide your name and signature at the bottom of this form. 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