2023 Faculty Award Nomination Form

Submit a School of Medicine Faculty Award Nomination

Deadline July 10, 2023
Visit the links below for awards information and criteria. Any questions should be directed to SOM Office of Faculty Academic Affairs and Professional Development at somfde@emory.edu.

Mentoring Award

Distinguished Service Award

Excellence in Diversity, Equity & Inclusion Award

Innovation for Impact Award

Lifetime Service and Leadership Award
Nominee's Full Name*

First NameLast Name
Nominee's Rank*
Nominee's Department*
Award*

Distinguished Service Award - Jr. (Instructor or Assistant Professor as of 9/1/2023)Distinguished Service Award- Sr. (Associate or Professor as of 9/1/2023)Excellence in Diversity, Equity & Inclusion AwardInnovation for Impact AwardLifetime Service and Leadership AwardMentoring Award
Nominator's Full Name*

First NameLast Name
Nominator's Email*
example@example.com
Nominator's relationship to Nominee*
Nomination Letter*

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Additional Letters of Support

Maximum 2
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Nominee's CV (Only required for Diversity, Equity & Inclusion Award and Lifetime Service Award)*

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Should be Empty:

Submit a School of Medicine Faculty Award Nomination