2026 PAGS-WD Teacher of the Year Award Nomination Form
The Geriatrics Teacher of the Year Award recognizes two outstanding educators—one physician and one non-physician healthcare professional—for excellence in geriatrics education. Nominees may be members or non-members who demonstrate leadership, innovation, mentorship, and a sustained commitment to advancing the education and care of older adults. Nominations must include a letter detailing the candidate’s contributions, a current CV, and supporting letters (including one from a learner).
Your Name
*
First Name
Last Name
Your Email
*
example@example.com
I would like to nominate:
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Award Type
Physician Award
Healthcare Professional Award
Nominee's Title & Organization
Attach the nominee's updated curriculum vitae here:
*
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Attach a nomination letter here:
*
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