Nominations Form – The Chapter Award Date Chapter Chapter President/Contact Person Mailing Address City State/Province/Country Postal Code Work Phone Home Phone Email If selected to receive the Chapter Award, the applicant agrees to the following: The Chapter President will confirm their acceptance in writing to the National Office. The Chapter President (or designee) will be present at the annual CSVN Conference to accept the Chapter Award. Please submit a letter in support of your chapter-how the chapter best promotes the goals of CSVN through their member relationships, community activities and promotion of community health issues. Please leave this field empty. Coming Events CME Bug Day, University of Manitoba October 20, 2020 Register online at: cpd-umanitoba.com