McMaster PGME Faculty Mentor Award - Postgraduate Medical Education

Name of faculty member being nominated *

First

Last

Program/Specialty *

To which campus is this faculty member associated?

Name of person submitting nomination *

First

Last

Program *

Level (ex. PGY5) *

Email *

Are you submitting this nomination in collaboration with other residents *

If yes then each resident submitting a nomination must provide a separate nomination letter. A maximum of three nomination letters can be submitted.

Each letter can be a maximum of two pages - 500 words per page.

Nomination Letter *

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Additional Nomination Letter

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Additional Nomination Letter

Click or drag a file to this area to upload.

Name