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Global Health Awards Nomination Form

Recognizing Leadership in global health at Dalhousie

2018 Global Health Awards

Deadline: March 4, 2018

To nominate an individual for one of the Global Health Awards listed below please complete this form and submit it with accompanying documentation to the Global Health Office gho@dal.ca by the deadline. Only complete nominations received by the deadline will be considered.

 
 Student
 Resident
 Faculty
 
 Yes
 No
 Unknown
 
 
 Part of the curriculum
 Outside curricular requirements
 Unknown
 

 

 

Nominee's Information:

 
 
 
 
 
 
 Global Health Research
 Service Learning Program
 Local Global Health Elective
 Queen Elizabeth Scholars
 Global Health Education Experience
 Promoting Leadership in health for African Nova Scotians (PLANS)
 Indigenous Health in Medicine
 IMU/IMG Clerkship Program
 Pre-Departure Training
 Social Accountability
 Diversity in Leadership
 Global Health mini-course
 Global Health Committee Member
 Global Health Office Blog contribution
 Global Health Office volunteer
 Global Health Day
 Other

 

 

Letters and Supporting Documentation:

Please provide the following to the Global Health Office gho@dal.ca.

  • Curriculum vitae outlining the nominee's global health involvement
  • Nomination letter highlighting the individual's global health strengths and commitment in the following categories:
    • Contribution & recognition of work
    • Leadership in global health
    • Commitment to marginalized communities
 
 Curriculum vitae
 Nomination letter (NB. if self nominating a second letter of support is required)

 

 

Nominator's Information: