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College of Medicine: Department of Family and Preventive Medicine

Chair’s Awards for Recognition of Excellence Nomination Form

Nominations are due by March 24th, 2025 at 5:00 p.m.

You may nominate yourself, if you wish. Complete the nomination form, attach your resume/CV, and attach one or two letters of nomination that you have obtained from your supporter(s).

Chair’s Awards Nomination Form

Department of Family and Preventive Medicine Chair’s Awards for Recognition of Excellence (CARE)

Your Name(Required)
Nominee's Name(Required)
Award Category(Required)

Upload Supporting Documents

Each nomination requires: (1) The resume/CV of the nominee (2) One letter of nomination (3) A second letter of nomination (optional)
Max. file size: 15 MB.
Max. file size: 15 MB.
Max. file size: 15 MB.