NOMINATION SUBMISSION

The award recognizes an individual staff member in the College of Medicine (CoM), who has embodied exemplary leadership practices and demonstrated 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.

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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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