Award Nomination Forms

To be used for Health Education Award of Excellence for an Auxiliary Member(s), Health Education Award of Excellence, Medical Heritage Award of Excellence, and Doctor’s Day Award of Excellence for an SMA Member Physician.

PLEASE REFER TO SPECIFIC ELIGIBILITY REQUIREMENTS FOR EACH AWARD  contained in the reference materials.

Required Attachments:
Nominee’s Curriculum Vitae (if appropriate)
Primary Letter of Nomination (limited to 4 typed, double-spaced pages)

Optional Attachments:
Up to three (3) Letters of Support for the Nomination (limited to 1 typed page)

PDF version of Nomination Form

Nomination Form
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