ExecuTrek Nomination

To submit a nomination, send the following information to the CFLC Secretariat:

* indicates mandatory fields

 

Employer Information

  • Title (Mr/Mrs/etc)*
  • First Name*
  • Last Name*
  • Position*
  • Company, Organization or Gov. Dept.*
  • Division, Branch or Sector Name
  • Organization Address
  • City*
  • Province*
  • Postal Code*
  • Telephone*
  • Fax
  • E-Mail*
  • Web Address

 

Language of Correspondence*

  • English
  • French

 

Type of Organization*

  • Construction
  • Manufacturing
  • Health
  • Education
  • Government
  • Defence industry
  • Natural Resources
  • Transportation, communications and public utilities
  • Wholesale and Retail Trade
  • Finance, insurance and real estate
  • Professional and personal services
  • Other

 

Number of Employees*

  • 1-5; 6-15; 16-50; 51-100; 101-250; 251-500; 500+
  • Includes (enter number of) ____ Reservists

 

Reservist's Contact Information

If you are a Reservist nominating your employer please provide us with some information so we can inform you when we invite your employer.

  • Service Number
  • Rank
  • First Name
  • Last Name
  • Unit
  • E-Mail Address

 

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