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UCLA FSPH Hall of Fame Award Nomination 2026

As you complete this form, please keep in mind that candidates will be evaluated based on the following criteria:
  • Leadership in public health education and/or the workforce.
  • Champion equity, diversity, and inclusion in public health.
  • Promote innovation to advance public health.
  • Communicate or utilize public health research or practice effectively to increase impact.
  • Nurture enduring partnerships with communities and organizations.
1.Nominator Contact Information(Required.)
2.If there are multiple nominators, please list their names and titles (if applicable) below.
3.What is your relation to the nominee? (If self-nominating, write "self")(Required.)
4.If this is not a self-nomination, is your nominee aware that you are submitting this nomination?(Required.)
5.Nominee Contact Information (if self-nominating, write "self")(Required.)
6.What degree, department, and year did the nominee graduate from the UCLA Fielding School of Public Health? (Ex: MPH, Community Health Sciences, 1990)(Required.)
7.Please describe how, through career and service, the nominee embodies the mission and vision of the Fielding School. Please limit your response to 300 words.
  • Mission: Enhance the public’s health by training future leaders and health professionals from diverse backgrounds, conducting innovative research, translating research into policy and practice, and serving our local communities and those of the nation and the world.
  • Vision: Build healthy futures in greater Los Angeles, California, the nation, and the world.
(Required.)
8.Please detail how the nominee implements one (or many) of the UCLA Fielding School of Public Health strategic pillars. Please limit your response to 300 words.
  • Excellence in Education: Develop leaders and a diverse workforce that creates transformational change to improve the health of populations.
    • Transform and expand graduate and undergraduate public health education to further promote innovation and interdisciplinary collaborations.
    • Promote equity, diversity, and inclusion in public health education.
  • Impactful Public Health Research: Develop new knowledge, evidence, and pioneering solutions to markedly approve the health of populations locally and globally.
    • Promote innovative, cross-disciplinary, and entrepreneurial efforts that nourish new lines of research and bold public health collaborations while maintaining core areas of strength.
    • Communicate public health research effectively to increase impact.
  • Effective Partnerships with Communities and Organizations: Develop meaningful and authentic community partnerships and collaborations to build healthy futures and reduce health inequities.
    • Nurture enduring partnerships with communities and organizations.
    • Strengthen public health practice training opportunities.
(Required.)
9.Only applications including either a CV or a resume will be considered for nomination. Applications received without one of these documents will be considered incomplete and will not be evaluated in the selection process. Please attach either a CV or a resume here. Limit submissions to five pages. Any materials beyond the first five pages will not be reviewed.(Required.)
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10.If you would like to upload any additional supporting documentation, please do so here (ex: News Articles, Podcasts, Awards, etc.). Please limit submissions to five pages. Any materials beyond the first five pages will not be reviewed.
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