CST CLINICIAN RECOGNITION AWARD - NOMINATION FORM

This award is designed to recognize exemplary commitment to the CST mission through excellence in front-line clinical innovation and program development, humanitarianism, and/or education as part of the direct case of Canadian organ transplant patients.

ELIGIBILITY CRITERIA

  • Nominee must be a CST Member (Full or Associate) in good standing for the past 5 years
  • Nominee must be a Canadian Resident
  • Academic Rank is not required
  • Previous CST Award winners (any category) are not eligible

LIST OF SUPPORTING DOCUMENTS required to complete submission to be sent to CST Office by email in a single PDF to: admin@cst-transplant.ca and received no later than March 31st:

  • Letter of Nomination (optional)
  • Letters of Support (One from CST Member and up to 2 additional letters from patients or allied health personnel)
  • Nominee CV
  • Brief Bio (Outlining contributions and achievements in field of transplantation, 1 page limit)

NOMINATOR INFORMATION
Yes No Unsure
Nominee has been a CST member for at least 5 years:
Nominee has received an award from the CST in the past (other than as a trainee):
Does the Nominee reside in Canada?
 Yes    No
Is this a self-nomination?
 Yes
 No (Nominee has agreed to put name forward)
PRINT YOUR CONFIRMATION
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