NOMINATION SUBMISSION

The award recognizes an individual faculty member in the College of Medicine (CoM), who has shown outstanding leadership and achievements while exhibiting care and the CoM values, in building a healthy workplace, teams, and citizens.

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

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* 1. Nominator Information

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* 2. Nominee Information

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

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

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

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* 6. Upload nominee's CV

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