CASL Education Excellence Award
NOMINATION FORM
Name of Nominator
First Name
Last Name
Email (for clarification/questions):
example@example.com
Name of Nominated Candidate
First Name
Last Name
Institution of Nominated Candidate
The CASL Education Excellence Award recognizes CASL members who demonstrate exceptional scholarly activities, leadership in medical education, significant involvement in the development and/or implementation of educational programs and innovations, excellence in teaching, and a commitment to administrative duties relating to medical education. 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.
Two additional letters of support for the nomination. One letter of support must come from within the nominee’s institution. These letters should address why the nominated candidate fulfils the criteria above.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
The nominee’s complete curriculum vitae.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: