McMaster PGME Faculty Mentor Award

Information of the faculty member being nominated

Name *This question is required.

Program/Specialty *This question is required.

With which campus is this faculty member associated? *This question is required.

Information of the person submitting this nomination (you)

Name *This question is required.

Program *This question is required.

Training Level *This question is required.

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

Are you submitting this nomination in collaboration with other residents? *This question is required.If yes, each resident submitting a nomination must provide a separate nomination letter. A maximum of three nomination letters can be submitted.

Nomination Letter(s)

Each letter can be a maximum of two pages - 500 words per page.

Nomination Letter *This question is required.

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Additional Nomination Letter(s) (up to 2)

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