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  1. University of Arkansas for Medical Sciences
  2. College of Medicine
  3. Department of Family and Preventive Medicine
  4. DFPM Offices
  5. Leadership and Professional Development
  6. DFPM Chair’s Awards for Recognition of Excellence (CARE)
  7. Chair’s Awards for Recognition of Excellence Nomination Form

Chair’s Awards for Recognition of Excellence Nomination Form

Nominations are due by Monday, January 26, at 11:59 p.m.

You may nominate yourself, if you wish. Complete the nomination form, attach your resume/CV (if available), and attach one or two letters of nomination.

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

Your Name(Required)
Nominee's Name(Required)
Award Category(Required)
Faculty awards(Required)
Resident/Fellow awards(Required)
Medical Student awards(Required)
Staff awards(Required)
Awards open to individuals in any category(Required)

Upload Supporting Documents

Each nomination requires: (1) The resume/CV of the nominee (if available) (2) One letter of nomination (3) A second letter of nomination (optional)

(If a nominee has no resume/CV available, the nominator must include the following details in the letter of nomination: (1) The nominee’s job title; (2) How long the nominee has worked at the DFPM and in what roles.)

Max. file size: 15 MB.
Max. file size: 15 MB.
Max. file size: 15 MB.
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