2023 GAFP Resident Awards

2025 Georgia Academy of Family Physicians Resident Award Nominations

Each submission is for one category of awards. You can submit as many nominations for each category as you wish by simply re-visiting this form.
Name*

First NameLast NameSuffix
Email*
example@example.com
AAFP ID #
Resident Award Categories

Family Medicine Resident of the Year

A candidate for the award will be a deserving GAFP resident member who has been a leader in academic, community and professional affairs, along with making an outstanding contribution to the profession or the community.

Candidates will be evaluated on the following:
1. Member of the GAFP in good standing, holding membership at least one year prior to the year of selection
2. Completed general nomination form.
3. Current Curriculum Vitate submitted by the nominator
4. Must be in a Georgia Residency Program
5. Qualifications to be considered are: Academic, Clinical Expertise, Community Involement, Involvement in the Discipline of Family Medicine and Involvement in Academy Activities.
Keith Ellis Resident Scholarship

The award nominee will be a deserving chief/co-chief resident who has been a leader in academic and community affairs. He/She should also be making outstanding contributions to the profession or community.

Candidates will be evaluated on the following:
1. Member of the GAFP in good standing, holding membership at least one year prior to the year of selection;
2. Chief/Co-Chief Resident;
3. Must be in a Georgia Residency Program
4. Completed general nomination form;
5. Nomination letter from Program Director;
6. Current Curriculum Vitate submitted by the nominator
7. Qualifications to be considered are: Academic, Clinical Expertise, Community Involement, Involvement in the Discipline of Family Medicine and Involvement in Academy Activities
Deadline to submit nominations is Friday, April 18, 2025.
Which award are you nominating for?*
Name of Nominee
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Residency Program
Year of Residency

Outline the Candidate's Qualifications in the Following Areas:
Academic:
Community Involvement
Clinical Expertise

Involvement in the Discipline of Family Medicine:
Involvement in Academy Activities:
Program Director

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Honors/Graduation Program Date
Email
example@example.com

Current CV

Browse Files

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Nomination Letter

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* Keith Ellis Nomination Letter from Program Director

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Should be Empty:

2025 Georgia Academy of Family Physicians Resident Award Nominations

Resident Award Categories

Outline the Candidate's Qualifications in the Following Areas: