The Clinical Educator Award recognizes HIVMA members who have demonstrated significant achievement in the area of HIV clinical care and provider education. Significant achievement will be based on overall achievement and refer to contributions to the acquisition and dissemination of information on HIV disease that transcend a single institution.

Primary nominators - please complete questions 1, 2, 3, 4, 5 and 6.
Secondary nominators - please complete questions 1, 2, 3 and 8. 

Nominations for the 2021 HIVMA Awards are due August 13th.

Nominators and nominees must be members of HIVMA. Preference will be given to nominations that reflect a broad base of support.

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* 1. Nominator General Information

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* 3. Nominee Information 

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* 4. Upload Nominee CV

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* 5. Please discuss how the nominee has demonstrated an impact outside of his/her own institution or outreach to a group with unmet needs.

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* 6. Please discuss evidence of the nominee's originality and innovation in the area of clinical education and/or teaching whether inside or outside of an academic setting.

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* 7. Please share any additional information to support your nomination that was not addressed above.

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* 8. For SECONDARY NOMINATORS - please provide a statement of support describing the nominee's unique contributions to clinical education and the impact that they have had on the field highlighting their original or innovative contributions.

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