Canadian Society of Transplantation - CST Education and Teaching Excellence Award

CST EDUCATION AND TEACHING EXCELLENCE AWARD - NOMINATION FORM

To recognize demonstrated exemplary commitment to the CST mission through excellence in teaching and educational program development, as part of the care 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 Winners Excluded: Yes, and previous lifetime achievement

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 April 2, 2024:

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

NOMINATOR INFORMATION

Full Name of Nominator (First and Last):

Nominator Email Address:

Full Name of Nominee (First and Last):

Nominee Email Address:

Nominee Mailing Address:

Nominee Telephone (999-999-9999):

Affiliated University:

	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

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