Leadership Award Application
Please use this form to submit your Leadership Award Application (extended to March 31, 2026) For further information on leadership awards visit - https://bngap.org/awards-pre-faculty/
Nominator Name
First Name
Last Name
Nominator Email
example@example.com
Nominator Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Award category?
BNGAP Chapter of the Year
Junior Leadership Award
Health Professional Leadership Award
Organizational/Institutional Leadership Award
Trainee Leadership Award
Name or person or organization being nominated?
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