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Private: Awards & Scholarship Application Forms
Mr. Patrick Shing Lung Cheung and Mrs. Ivy Heong Ngan Chan Resident Award
Mr. Patrick Shing Lung Cheung and Mrs. Ivy Heong Ngan Chan Resident Award
Mr. Patrick Shing Lung Cheung & Mrs. Ivy Heong Ngan Chan Resident Award
Name of program director who is submitting a nomination
Name
*
First
Last
Program
*
Email
*
Name of resident that is being nominated by the above
Name
*
First
Last
Program
*
Program Level (example PGY4)
*
Program Director Letter
The program director is to submit a letter outlining academic performance within the program and global health initiative, developed by the nominated resident.
Program Director Letter
*
Website
Submit
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