NOMINATION SUBMISSION

The award recognizes faculty in the College of Medicine who have had significant research impact over the course of their career. This includes recognition of excellence, leadership, and capacity building through their research program as demonstrated by advances in knowledge as well as through research related to patient health, health services, health equity, behaviour, social impacts, and/or medical education.

🟧 Note: Self-nominations are not accepted. Please do not submit any additional materials - they will be removed from the nomination package prior to adjudication.

Question Title

* 1. Nominator 1 Information

Question Title

* 2. Nominator 2 Information

Question Title

* 3. Nominee Information

Question Title

* 4. Do you consent to this nomination package being shared with the nominee, whether or not they are the award recipient?

Question Title

* 5. Do you consent to being publicly acknowledged if your nominee is successful?

Question Title

* 6. Upload the Primary Nomination Letter:
  • this is a jointly written letter from the 2 nominators 
  • 3 pages max

PDF, DOC, DOCX file types only.
Choose File

Question Title

* 7. Upload Letter of Support #1

PDF, DOC, DOCX file types only.
Choose File

Question Title

* 8. Upload Letter of Support #2

PDF, DOC, DOCX file types only.
Choose File

Question Title

* 9. Upload the Nominee's CV

PDF, DOC, DOCX file types only.
Choose File

T