Health Innovators to Watch - Applicant Evaluation Form
Only 10 applicants will be selected as honorees. Applications Due April 5, 2024. Note: No member of BCPH -- from the Board, leadership, staff, interns, fellows, editors -- is eligible for the award.
Applicant name
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Reviewer
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Please Select
Matt
Candice
Remy
Nour
Betini
Circe
Do you have a potential conflict of interest in evaluating this applicant? (e.g. nominated applicant, know them very well, have a positive or negative bias about the person, etc.)
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Yes
No
Is the applicant eligible for the award?
Yes
No
Please rate the applicant on the following
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Minimal
Good
Exceptional
Demonstrated public health leadership
Demonstrated public health Innovation
Commitment to a public health organization
Contributions to a public health organization
Point of view in public health (uniqueness, originality, passion, voice, etc)
Espousal of principles of social justice
Notes about this applicant: note highlights and lowlights observed, and overall opinion of whether they should be awarded the Health Innovators to Watch Award from BCPH.
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