- PROVINCE/STATE
STREET ADDRESS
FIRST NAME
POSTAL CODE/ZIP CODE
LAST NAME
CITY
FOR THE YEAR _______________________
NOMINEE
REFERENCE PERSON 1
This information is being collected pursuant to the provisions of the Municipal Freedom of Information and Protection of Privacy Act and under
the Authority of The Education Act.,and will be used to collect information on nominees for The Niagara Catholic Distinguished Alumni Award.
- Niagara Catholic District School Board, 427 Rice Road, Welland, Ontario, L3C 7C1 905-735-0240
SECONDARY SCHOOL ...