2020 SMDM Award Nominations Submission Form

Please complete this brief award nomination form. You will need to complete a separate nomination form for each candidate that you are nominating. Click here to view guidelines for submitting an award nominee. All nominations must be received by Friday, February 21, 2020 at 5 PM ET.

Please write Trevor Scholl (info@smdm.org) if you have any questions.

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* 1. Please enter the name of the person you are nominating for an award:

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* 2. Which award are you nominating this person for?

Career Achievement Award

SMDM Award for Distinguished Service

John M. Eisenberg Award for Practical Application of Medical Decision Making Research

Young Investigator Award

Lee B. Lusted Sub-Award Nominations: Applied Health Economics (AHE) Category

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* 3. Please upload any additional information (CVs, Letter of Support) to support your nomination.

Please combine all information into one file prior to uploading.

PDF, DOCX, DOC file types only.

Choose File

2020 SMDM Award Nominations Submission Form

Question Title

* 1. Please enter the name of the person you are nominating for an award:

Question Title

* 2. Which award are you nominating this person for?

Question Title

* 3. Please upload any additional information (CVs, Letter of Support) to support your nomination.

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* 4. Nominator's Name

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* 5. Nominator's E-Mail Address