McMaster PGME Resident Mentor Award

Information of the resident being nominated for this award

Name *This question is required.

Program *This question is required.

Email This question requires a valid email address.

Information of the person submitting the nomination (you)

Name *This question is required.

Program *This question is required.

Email *This question is required. This question requires a valid email address.

Nomination Letter(s)

Are you submitting this nomination in conjunction with other learners? *This question is required.If yes please ensure a separate nomination letter is completed by each individual nominating the resident. A maximum of three letters will be accepted. Each nomination letter can be a maximum two pages - 500 words per page.

Nomination Letter(s) (up to 3) *This question is required.

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