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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
Please enable JavaScript in your browser to complete this form.
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
*
Phone
Submit
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