Please use this form to nominate candidates for the Medical Alumni Association’s awards.
We ask that you provide a brief profile with the qualifications and credentials of those you nominate. Please use a separate sheet for profile information.
(Nominations for 2008 are closed.
However, we encourage nominations for our 2009 awards cycle.)
Nominee #1 ______________________________________
Nominee #2 ______________________________________
HONORARY ALUMNUS OF THE YEAR
New in academic year 2007, nominations for this award will come not only from Medical Alumni Association board members, but from School of Medicine faculty and students as well.
Criteria: Not a graduate of the Case Western Reserve University School of Medicine, must have a distinguished career spanning 20+ years at the university, must be a national leader in his or her specialty, should hold other awards from national societies, should have extensive publication history. Preferred nominee could have served on a NIH committee (added plus), must be recognized as a physician scientist. Alternatively, outstanding physician clinician educators who may have received a distinguished teaching award are excellent candidates for this award.
Nominee #1 ______________________________________
Nominee #2 ______________________________________
Return this form with your candidate profiles to:
JoAnn Manson, M.D., Dr.P.H. ’79, Awards Committee Chair, Office of Alumni Relations, Case Western Reserve University, School of Medicine W-G23, 10900 Euclid Ave, Cleveland OH 44106- 4923.
Thank you!
