Rising Star Resident Award
2026 Nomination Form
The Rising Star Award honors a family medicine resident who demonstrates exceptional promise as a future leader in the specialty. This prestigious recognition celebrates a resident who goes above and beyond in their commitment to patients, peers, and the profession — showing initiative, leadership, compassion, and a clear dedication to advancing family medicine.
Nominations are welcome from Arkansas Family Medicine Residency Programs
Nominator Name
First Name
Last Name
Nominator Title
Residency Program
Email
example@example.com
Nominee Name
First Name
Last Name
Nominee Email
example@example.com
Nominee Residency Program
Current Year in Training
Describe specific examples of the nominees leadership within their residency program and/or ARAFP, or community, include any leadership positions, initiatives led, or projects organized.
How has this nominee promoted or advocated for family medicine? Include example of activity.
Describe the nominee's community involvement or service activities, including volunteer work, community health initiatives, or service projects.
Is there anything else you would like to share about the nominee?
Signature
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