NOMINATION SUBMISSION

The Rural Partnership Award recognizes rural College of Medicine (CoM) members who work in partnership in advancing academic medicine in rural Saskatchewan. The award also recognizes demonstration of the CoM values.

🟧 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

Question Title

* 2. Nominee Information (for an individual nominee)

Question Title

* 3. Nominee Information (for team nominations)

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 recognized if your nominee is the successful recipient?

Question Title

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

T