Global Health Awards Nomination Form

Recognizing Leadership in global health at Dalhousie

2019 Global Health Awards

Deadline: March 2, 2020

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 by the deadline. Only complete nominations received by the deadline will be considered.

 Part of the curriculum
 Outside curricular requirements



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
(Optional) Please list the other global health opportunities this nominee has participated in



Letters and Supporting Documentation:

Please provide the following to the Global Health Office

  • 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:

(NB. our system only accommodates details for one nominator. There is a box at the end of the form for additional details)