FY25 Johns Hopkins Medicine Alumni Association Awards Nomination Form

Johns Hopkins Medicine Alumni Association Awards Nomination Form
Nominations Due by December 15, 2024

These prestigious awards honor School of Medicine alumni, including graduates, and current and former residents, fellows, and faculty.

During the 2025 School of Medicine Reunion and Alumni Weekend (dates to be determined), The Johns Hopkins Medicine Alumni Association will present awards in two categories:

1. The Distinguished Medical Alumnus/a Award
Honors alumni (degree recipients and current and former faculty, fellows and house staff) of the Johns Hopkins University School of Medicine and The Johns Hopkins Hospital who have demonstrated excellence and achievement through their personal and professional accomplishments.

2. The Samuel P. Asper Award for Achievement in Advancing International Medical Education
The Asper Award was established in honor of the vision of the late Samuel P. Asper, M.D. '40. A renowned Hopkins Educator and physician, he served as Dean of the American University of Beirut School of Medicine in the mid-to-late 1970's. Dr. Asper believed that the Hopkins-trained physicians who are dedicated to fostering excellent medical care and education in a foreign country are continuing the outreach effort of Dr. William Osler, who traveled to China to assist in establishing Peking Medical Union College, and deserved recognition for their efforts. The Asper Award is presented annually during the meeting of the Johns Hopkins Medicine Alumni Association to a member of the Association who has had a significant impact on the health and education of those in foreign countries.

Please note that the Johns Hopkins Medicine Alumni Association Awards are distinct from the Johns Hopkins Alumni Association Awards. The latter is a separate awards program for alumni of all Johns Hopkins divisions, including Medicine, and involves a different call for nominations to be announced at a later date.

Nominees may be nominated posthumously.
Nominator Information

Please provide information about yourself, the nominator.
Nominator's Name:*

First NameLast Name
Nominator's Email Address:*
example@example.com
Nominator's Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Nominator's Phone Number:*
Please enter a valid phone number.
Nominator's Relationship with Nominee (e.g. friend, colleague, classmate, family member, etc.)?:*
Nominator's Affiliation to Johns Hopkins University School of Medicine and/or Johns Hopkins Hospital:*
Nominee's Information

Please provide information about the individual you are nominating for an award.
Nominee's Name:*

First NameLast Name
Nominee's Email Address:*
example@example.com
Nominee's Mailing Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Nominee's Phone Number:*
Please enter a valid phone number.
I would like to nominate this person for:*

The Distinguished Medical Alumnus/a AwardThe Samuel P. Asper Award for Achievement in Advancing International Medical Education
Please answer the following questions in a narrative statement, no more than 500 words in length, that addresses the criteria for the award listed above: Why now for this nomination? What are concrete examples of the nominee's most significant accomplishments and contributions? What sets this individual apart from others in their field? How is this individual distinctive in their career and in their community? Why do you think the nominee furthers the values of the institution and profession? This can be written below or in a separate statement that may be uploaded below. If you intend to upload a document, please indicate in the space below.*
Please feel free to upload a document that answers the questions above, preferably in a PDF.

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Supplemental information, not to exceed three (3) pages, may be uploaded, such as letters of support, background information on accolades, and/or articles about the nominee. Do not include CVs, resumes, or links to articles.

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Name of the Individual Who Wrote Support Letter #1

First NameLast Name
Individual's Email
example@example.com
Name of the Individual Who Wrote Support Letter #2

First NameLast Name
Individual's Email
example@example.com
Nominee's Affiliation with Johns Hopkins University School of Medicine and/or Johns Hopkins Hospital (e.g. alumnus, alumna, former/current learner, former/current faculty, former/current staff, etc.): *
Should be Empty:

Johns Hopkins Medicine Alumni Association Awards Nomination Form

Nominator Information

Nominee's Information