NOMINATION SUBMISSION

This award recognizes individuals or teams of staff members who contribute to developing skilled, engaged educators and empowered learners in the College of Medicine (CoM). 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.

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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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