Canadian Society of Transplantation - CST Dr. Joel D. Cooper Award

CST DR. JOEL D. COOPER AWARD - NOMINATION FORM

This award recognizes a lung transplant professional who has made an outstanding contribution to the field of lung transplantation in Canada either through innovation, outstanding clinical care, or scientific achievement.

ELIGIBILITY CRITERIA

Previous Lung Award Recipients 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 May 31, 2023:

Letter of Support from a CST Member that details: Reasons for Nomination, Accomplishments and Impact of Nominee.

NOMINATOR INFORMATION

Full Name of Nominator (First and Last):

Nominator Affiliation

Nominator Mailing Address:

Nominator Telephone:

Nominator Email Address:

NOMINEE INFORMATION

Full Name of Nominee (First and Last):

Affiliated University:

Nominee Mailing Address:

Nominee Telephone (999-999-9999):

Nominee Email Address:

Has this nominee been a previous recipient of this award?

No Yes Unsure

PRINT YOUR CONFIRMATION

When you click submit, a confirmation screen will appear. Please print the page before proceeding to obtain a record of your submission.

CST Office

The Canadian Society of Transplantation wishes to thank the following companies for their support of the Society:

Transplant Now