PURPOSE
The Canadian Diabetes in Pregnancy Study Group (CanDIPS) Award of Excellence recognizes a CanDIPS member who has demonstrated sustained contributions to the care of women with diabetes in pregnancy through research, teaching, patient care, or education.

THE AWARD
Recipient of the CanDIPS Award will receive one complimentary registration to attend conference and an award presented to them at the Annual Section meeting as part of the Diabetes Canada/Canadian Society of Endocrinology & Metabolism (CSEM) Professional Conference.

ELIGIBILITY
Be a member of the Diabetes Canada Professional Member and a member of
CanDIPS.
It will be awarded alternate years to a non-physician diabetes educator and
physician /researcher. This year, the award will be given to a non-physician diabetes educator.

Note: Members of The Awards Committee and the Co –Chairs of the Awards and Membership Portfolio are not eligible to apply.

NOMINATION PROCESS

Requirements:
- Applications must be typed or submitted in electronic format (i.e.: word document or pdf.) on official forms
- One current copy of the applicant’s curriculum vitae
- Applications must include two letters of recommendation from colleagues or other peers that outline the candidate’s contributions to enhancing the quality of care for women with diabetes in pregnancy through research, education, clinical care.

The Professional Membership Awards Program is supported by:

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* 1. Nominator's Full Name

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* 2. Nominator's Email Address

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* 3. Nominee Full Name

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* 4. Nominee's Email Address

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* 5. Nominee's Title

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* 6. Nominee's Institution

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* 7. Explain why the applicant deserves the CanDIPS Award of Excellence including the impact of their work for women with diabetes at the local, regional and national level. (500 word count single spaced)

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* 8. Please upload the first letter of recommendation.

PDF, DOC, DOCX file types only.
Choose File

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* 9. Please upload the second letter of recommendation.

PDF, DOC, DOCX file types only.
Choose File

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* 10. Please submit the nominee's resume

PDF, DOC, DOCX file types only.
Choose File

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* 11. Do you have any additional comments?

Unless otherwise noted, Diabetes Canada will use the data collected for analytical purposes to determine what services we can provide to better understand and manage diabetes. Identifiable information will only be collected with your consent and unless otherwise notified will not be shared other than with Diabetes Canada or its affiliates who may complete data analysis on Diabetes Canada’s behalf.

By providing your contact information you are permitting Diabetes Canada to contact you.

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