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Global Health Awards Nomination Form

Recognizing Leadership in global health at Dalhousie

2017 Global Health Awards

Deadline: March 5, 2017

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

 

 

Nominee's Information:

 
 
 
 
 

 

 

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: