AADPRT 2027 Lifetime Service Award Nomination

AADPRT Lifetime Service Award Nomination Form

This award acknowledges an AADPRT psychiatrist member who's made a significant impact on psychiatric residency education nationally, demonstrated excellence in psychiatric residency education, and/or provided generativity and mentoring in residency. The awardee will be honored with a plaque at the Annual Meeting.

Please complete the form below in its entirety and upload the following as one PDF:

Your nomination letter (not to exceed two pages - nomination letters exceeding this length will not be considered)
Nominee's CV
Brief nominee bio

Please title the PDF "[nominee last name] documents".

Nomination Deadline: Tuesday, 9/22/26, 11:59pm CT

Submitter First Name (Must be current AADPRT member)

First Name

Submitter Last Name (Must be current AADPRT member)

Last Name

Submitter Email

example@example.com

Submitter Institution (if applicable)

Nominee First Name

First Name

Nominee Last Name

Last Name

Nominee Email

example@example.com

Nominee Institution

Upload nomination letter (no longer than two pages), nominee's CV, and brief bio of nominee as one PDF. Nomination letters exceeding two pages will not be considered.

PLEASE TITLE DOCUMENT "LIFETIME SERVICE NOMINEE LAST NAME DOCUMENTS" WITHOUT PUNCTUATION

Upload Head Shot of Nominee (jpeg preferred)

PLEASE TITLE DOCUMENT "LIFETIME SERVICE NOMINEE LAST NAME HEAD SHOT" WITHOUT PUNCTUATION