Global Health Service Award Application

Click here for application instructions and frequently asked questions about the Global Health Service Award program.

Required fields are indicated with an asterisk(*)

  • Nominator's Personal and Departmental Details

  • Nominee's Personal and Departmental Details

  • Application

    All applications require a letter of nomination. An additional letter of support is optional but preferred. For the Teaching Excellence Award an additional letter of support from a student, resident, or fellow is strongly encouraged. For the Excellence in Research Award, a short description of ongoing or future research is required. No additional items are needed for the Humanitarian Award. Click here for detailed instructions.

    **If you are renominating an individual you do not need to upload previous documents. You may, however, submit additional materials that strengthen their nomination.

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