CASL Distinguished Service Award
NOMINATION FORM
Name of Nominating CASL Member
First Name
Last Name
Email (for clarification/questions):
example@example.com
Institution
Relationship to Nominee (e.g. colleague, collaborator, trainee):
Name of Nominee:
First Name
Last Name
Institution of Nominee:
The Canadian Association for the Study of the Liver presents this award annually to recognize a member who has made significant contributions to CASL and to the Canadian Liver community. In the following space, please outline the accomplishments of the nominee that, in your opinion, qualify them for this award. You may use extra space if necessary, or submit a letter containing the same information.
Submit
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