NAMS 2020 Award Nomination Form

NAMS 2020 Award Nomination Form

Please complete and submit the online Nomination Form before the deadline of June 15, 2020. Self-nominations are accepted.

Note: the system will not permit large pasted documents. If your nomination includes a large document, please email the nomination to mary@menopause.org instead of using the online system.

Question Title

* Please provide the following information.

Question Title

* Please indicate why this person/you should be considered (include CV if possible):
Be sure to include any and all data pertaining to the award criteria.

Question Title

* Please provide the following information about yourself.

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