Awards Nomination Form

Recognizing commitment to community engagement and global health

Office of Community Engagement Awards

Deadline: February 6, 2026

Please complete this form and submit it with accompanying documentation to the Office of Community Engagement 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 Office of Community Engagement gho@dal.ca.

Curriculum vitae outlining the nominee's community engagement and/or global health involvement (not required for Community Partner nominations)
Nomination letter highlighting the individual's or organization's strengths and commitment in the following categories:
- Contribution & recognition of work
- Leadership in community engagement and/or global health
- Commitment to marginalized communities

This Nomination is for:

Student

Resident

Faculty

Community Partner

Nominee's Information:

Name of individual or organization:

Faculty/Department (if applicable):

Which of the following has the nominee participated in? (select all that apply)

Community Engaged Service Learning

Committee Member (through our office, your school, department or faculty)

Faculty of Medicine Admissions

Francophone Health (eg. French in Medicine group)

Global Health Education Experience (elective, placement etc.)

Global Health mini-course

Global Health Research

KW (Keknu’tmasiek Ta’n Tel Welo’ltimk/Indigenous Health)

Mentorship Activities

Planetary Health

PLANS (Promoting Leadership in health for African Nova Scotians)

Volunteer Patient Program

Other

If Other, please specify

(Optional) Please list the other activities related to community engagement and global health

If there is anything else about this nominee and their involvement in community engagement and global health that you feel the committee should consider please add that here.

Nominator's Information: