Medical Student Section C. Frank Webber, MD Award Nomination

Medical Student Section C. Frank Webber, MD Award Nomination

Presented by the TMA Medical Student Section
All nominees for the C. Frank Webber, MD Award should be Texas Medical Association (TMA) member physicians who have provided outstanding service to the Medical Student Section.

Nominations will be accepted from TMA Medical Student Section (TMA-MSS) members only, through Feb. 15. The TMA-MSS Executive Council will consider all nominees and select the award recipient during their first meeting of the year. The award will be presented during the section meeting at TexMed and the honoree will be recognized from the dais during the HOD general session meeting.
NOMINEE INFORMATION
Name*

First NameLast Name
Institution*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*

Area CodePhone Number
Please explain your reasons for nominating this physician for the TMA-MSS C. Frank Webber, MD Award.*
Nominator Name*

First NameLast Name
Chapter
Nominator Email*
example@example.com
Phone Number*

Area CodePhone Number
Should be Empty: