Each year, MAFP honors outstanding individuals in the Michigan Family Medicine community who exemplify the mission, vision, and values of the Academy. Awards are presented during a special Michigan Family Medicine celebration held during the Michigan Family Medicine Conference & Expo. The 2020 conference will take place August 6-9 at the Detroit Marriott Troy in Troy, Michigan. Details about the 2020 Michigan Family Medicine Conference & Expo will be posted at www.mafp.com/events.
Nominating Categories & Supporting Materials

In addition to completing the form below, please submit* to MAFP by March 1 the following supporting materials based on the award category:

The "Archie" Award of Excellence
  • Letter(s) of recommendation from a non-family member 
  • CV
  • Additional supporting materials that will help in the decision-making process
Michigan Family Physician of the Year
  • Letters of recommendation from patients, colleagues, hospital administrators, and/or community organizations
  • CV
  • Additional supporting materials that will help in the decision-making process
Michigan Family Medicine Educator of the Year
  • Letter(s) of recommendation from a former student or resident
  • Letter(s) of recommendation from a family medicine educator from another institution
  • CV
  • Additional supporting materials that will help in the decision-making process
Michigan Family Medicine Resident of the Year
  • Letter of recommendation from the nominee's residency program director; if the nominator is the residency program director, please submit a letter of recommendation from another residency program faculty member
  • Letter(s) of recommendation from a physician colleague, hospital administrator, patient, and/or community leader who has worked with the nominee
  • CV
  • Additional supporting materials that will help in the decision-making process
Outstanding Medical Student in Michigan Award
  • Letter(s) of recommendation from a non-family member
  • CV
  • Proof of GPA
Michigan Family Medicine Volunteer Leadership Award
  • Letter(s) in support of the nomination, and which identify the volunteer leadership activities of the nominee
  • CV
  • Additional supporting materials that will help in the decision-making process
*Email supporting materials to info@mafp.com; fax to 517.347.1289; or mail to: MAFP, Attn: Academy Awards, 2164 Commons Parkway, Okemos, MI 48864.

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* 1. Nomination Category

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* 2. Nominee's Contact Information

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* 3. If the nominee is a practicing physician, select his/her primary practice type:

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* 4. If the nominee is a student, list his/her medical school and year of graduation:

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* 5. If the nominee is a resident, list his/her residency program and year of training completion:

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* 6. Why do you believe that this individual should receive this recognition?

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* 7. Please explain this individual's accomplishments and contributions to the continuing health of Michigan residents.

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* 8. If the nominee is a student, how has he/she demonstrated academic excellence, leadership, service, AND dedication to pursuing a career as a family physician?

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* 9. Nominator's Contact Information

Remember to submit the required supporting materials, based on the award category, to MAFP by March 1.

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