Global Health Office

Faculty of Medicine

Global Health Awards Nomination Form

Recognizing Leadership in global health at Dalhousie

Global Health Awards

Deadline: March 4, 2024

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.

Letters and Supporting Documentation:

To complete your nomination 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
 
 Student
 Resident
 Faculty
 
 Yes
 No
 Unknown
 
 
 Part of the curriculum
 Outside curricular requirements
 Unknown
 

 

 

Nominee's Information:

 
 
 
 
 
 
 Community Engaged Service Learning Program
 Diversity in Leadership (committee, events, etc.)
 Francophone Health Program (eg. French in Medicine group)
 Global Health Committee Member (through our office, your school, department or faculty)
 Global Health Day participant
 Global Health Education Experience (elective, placement etc.)
 Global Health mini-course
 Global Health Office Blog contribution
 Global Health Office volunteer
 Global Health Research
 IMG Clerkship Program
 Keknu’tmasiek Ta’n Tel Welo’ltimk (Indigenous Health)
 Mentorship Activities
 Photo Contest participant
 Planetary Health Program
 Pre-Departure Training
 Promoting Leadership in health for African Nova Scotians (PLANS)
 Social Accountability
 Writing Contest participant
 Other
 
(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 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:

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

 
 
 
 
 
 
 
*