KARL NAGY Memorial Award - The Alpine Club of Canada

APPLICANT INFORMATION
1.Contact Info:
APPLICATION FORM FOR THE
KARL NAGY MEMORIAL AWARD
Please submit this application electronically to:
adventures@AlpineClubofCanada.ca
Name
Age
ACC Membership Number
Email Address
Mailing Address
Phone
2. Describe your climbing, skiing and mountaineering background (please include
details of any contributions that you have made to Canadian mountaineering).
3. Describe your involvement with the ACC and/or ACMG to date (please
include details of any volunteering you have done).
4. Why are you applying for this award
5. What are your future outdoors goals
6. What are your future career goals
7. How will this opportunity assist in meeting your future outdoor/career goals
8. Do you have any other related information you would like to provide to the
selection committee
9. Please provide two letters recommending you for this award.
TO THE BEST OF MY KNOWLEDGE, ALL INFORMATION IN THIS
APPLICATION IS ACCURATE.
Name:
Date: