WNS Bennett Hiner Award Application - 2026
Please complete all fields. Please contact the WNS office with issues, WNS@badgerbay.co
Name
*
First Name
Last Name
Email
*
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Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
School/ Year
*
Please describe how your research supports the spirit and purpose of the award.
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Please describe examples of leadership in medical school and in the community that are in the spirit and purpose of the award.
*
Please upload the following documents: Research Abstract, CV, Letter of Reference from a Faculty Member.
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Research Abstract
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CV
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Letter of Reference
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I will be able to attend the WNS Annual Conference in-person on Saturday, October 4, 2025 to accept my award if selected.
Yes
No
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