CST EXCELLENCE IN LEADERSHIP AWARD - NOMINATION FORM

To recognize demonstrated exemplary commitment to the CST mission through excellence in leadership benefiting 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, previous lifetime achievement, research excellence, clinical recognition or education and teaching excellence award winners excluded

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