Global Health Service Award Program Application

Click here for a description of the program with instructions for submitting a nomination.

Required fields are indicated with an asterisk(*)

Nominator's Personal and Departmental Details

Nominee's Personal and Departmental Details

Application

All applications require a letter of nomination. An additional letter of support is optional but preferred. For the Teaching Excellence Award an additional letter of support from a student, resident, or fellow is strongly encouraged. For the Excellence in Research Award, a short description of ongoing or future research is required. No additional items are needed for the Humanitarian Award. Click here for detailed instructions.

**If you are renominating an individual you do not need to upload previous documents. You may, however, submit additional materials that strengthen their nomination.

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