ISOQOL Awards Nomination Form

ISOQOL Awards: Nomination Form

Thank you for your dedication to ISOQOL and for your involvement in the awards process. We greatly appreciate your suggestions and contributions. Please complete the form below to provide information about the individual you wish to nominate.
Indicate Nomination Type*

I wish to nominate myself.I wish to nominate a colleague.
Which award are you nominating this person for?*

Donna Lamping Emerging Leader AwardOutstanding Volunteer Service Award
Eligible recipients for the Emerging Leader Award must have completed their PhD (or equivalent), MD or master’s degree within 10 years of their application.*

I confirm that the nominee meets this eligibility requirement.
View eligibility and award criteria for the Donna Lamping Emerging Leader Award.

View eligibilty for the Outstanding Volunteer Service Award.

Your Contact Information
Nominator Name:*

First NameLast Name
Nominator Email Address:*
example@example.com
Indicate your nomination preferences below:*

I prefer to keep my nomination anonymous.I consent to having my information shared with the Awards Subcommittee.I consent to having my information shared with the person I am nominating.
Please note that the supporting materials uploaded in the nomination will be shared with the ISOQOL Awards Subcommittee for the selection process. The nominator is responsible for keeping the supporting materials anonymous if desired.
Nominee Contact Information
Nominee Name:*

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

File Upload
Headshot photo – .JPG, .JPEG, .PNG*

Photos will be used in print and digital marketing materials if the nominee is selected as the award recipient.
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Emerging Leader:
A one-two-page summary letter – .DOC, .DOCX, .PDF*

The summary letter should describe the type and level of engagement in ISOQOL, explain the role(s) the nominee played and the contribution(s) made, and describe the outcome/success of the nominee's efforts.
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CV or Biosketch – .DOC, .DOCX, .PDF*

This should summarize the nominee's academic record, employment history, and research track record.
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Outstanding Volunteer:
A one-two-page summary letter – .DOC, .DOCX, .PDF*

The summary letter should specify the nominee's contributions and level of engagement to ISOQOL.
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Should be Empty:

ISOQOL Awards: Nomination Form