McMaster PGME Resident Leader Award

Information of the resident who is being nominated for the award

Name *This question is required.

Program *This question is required.

Training Level

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

Information of the person who is submitting the nomination (you)

Name *This question is required.

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

Program *This question is required.

If you are a trainee, please indicate your training level

If you are a faculty member, please indicate your position (e.g., program director, department education coordinator)

Nomination Letters

A minimum of two and a maximum of three nomination letters are required. One letter must be submitted by a resident and one letter must be submitted by a faculty member who is involved in residency education (e.g. program director, member of residency program committee, department educational coordinator, department chair).

Residents Letter *This question is required.

File: {{filename}} delete

Faculty Letter *This question is required.

File: {{filename}} delete

Additional Letter

File: {{filename}} delete