CST LIFETIME ACHIEVEMENT AWARD - NOMINATION FORM

To recognize a senior transplant physician, surgeon or scientist for their internationally recognized work in the field of transplantation and participation in the development of transplantation activities in Canada.

ELIGIBILITY CRITERIA

  • Nominee must be a CST Member (Full) in good standing
  • Nominee must be a Canadian Resident
  • Nominee must hold or have held an Academic Rank at a Canadian University
  • Nominee must have agreed to be nominated and the nomination put foward by someone other than themselves. Self-nominatations will not be accepted.

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
  • Letter(s) of Support (minimum of 1 and up to one additional letter)
  • Nominee CV
  • Brief Bio (Outlining career contributions and achievements in field of transplantation)

NOMINATOR INFORMATION
Academic Appointment:
 Associate Professor
 Assistant Professor
 Professor
 Not Applicable
 Other:
Yes No
Has the Nominee held an Academic Rank either currently or previously at a Canadian University:
Nominee is a CST Member:
Does the Nominee reside in Canada?
Is Nominee aware and has agreed to be nominated?
PRINT YOUR CONFIRMATION
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