Rural Partnership Award (2025)

NOMINATION SUBMISSION

The Rural Partnership Award recognizes rural College of Medicine members who work in partnership in advancing academic medicine in rural Saskatchewan. Nominations can be for an individual or a team. More than one award recipient may be selected.

🟧 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 Information

Name

Current Position

Location

Email Address

Question Title

* 2. Nominee Information (for an individual nominee)

Name

Current Position

Location

Email Address

Question Title

* 3. Nominee Information (for team nominations)

Upload document listing team member names, positions, locations, and email addresses

PDF, DOC, DOCX file types only.

Question Title

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

Yes

No

Comment:

Question Title

* 5. Do you consent to being publicly recognized if your nominee is the successful recipient?

Yes

No

Comment:

Question Title

* 6. Upload the Nomination Letter, which must be signed by at least 2 people:

PDF, DOC, DOCX file types only.