RECOGNITION Award Nomination Form

2023 Recognition Award Nomination Form
November 5, 2022 Deadline

Established in 2006 this award is given to the person who best exemplifies dedication and commitment to the support of their Residency Program and one who continually contributes to the overall management of their program.

The recipient should be someone who:

Displays dedication of time and effort to the education of residency coordinators in surgery
Shows commitment to the education of peers through presentations or other active roles within the ARAS organization
Demonstrates leadership in professional organizations related to graduate medical education
Exhibits creativity, hard work and enthusiasm within the individual's residency program
Models professionalism
Demonstrates a strong interest in education while recognizing and encouraging others

Criteria for submission:

Complete the nomination application and submit prior to the deadline (November 5th 2022) the following items:

CV (inclusive)
Letter from Program Director
Photo
Letter from Resident(s) (optional)

Please make sure to answer questions with specific examples.

Executive Committee members are not eligible for a period of four years following completion of their term.

* Indicates required field

Nominee *

First

Last

Program Name *

Program Address *

Line 1

Line 2

City

State

Zip Code

Country

Program Director Name *

Program Director Phone Number (not associated with Program Administrator) *

Program Director Email (not associated with Program Administrator) *

Nominated by: *

Total number of years as a Program Administrator in Surgery *

Give examples of how program administrator displays dedication of time and effort to the education of residency administrators in surgery: *

Give examples of how program administrator demonstrates commitment to the education of peers through presentations or other active roles within the ARAS organization: *

Give examples of how program administrator demonstrates leadership in professional organizations related to graduate medical education: *

How does your program administrator exhibit creativity, hard work, and enthusiasm within your residency program: *

Submit

2023 Recognition Award Nomination FormNovember 5, 2022 Deadline

The recipient should be someone who:

Criteria for submission:

2023 Recognition Award Nomination Form
November 5, 2022 Deadline