The Distinguished Service Award

  • Honors an individual who has made a meaningful contribution to the field of cardiovascular anesthesiology through research, education, or service that has produced a significant impact in the sub-specialty.

  • This individual does not have to be an anesthesiologist but must be a member of the SCA.

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* 1. Your Full Name with Credentials

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* 2. Your Institution

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* 3. Your Email Address

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* 4. Your Phone Number

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* 5. Distinguished Service Award Candidate's Full Name with Credentials

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* 6. Distinguished Service Award Candidate's Institution

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* 7. Distinguished Service Award Candidate's Email Address

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* 8. Distinguished Service Award Candidate's Phone Number

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* 9. Is this distinguished service award candidate a member of the SCA?

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* 10. Is this distinguished service award candidate an anesthesiologist?

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* 11. Upload your statement of recommendation for the distinguished service award. Your statement should...
  • Include the significant contributions the individual has made to the field of cardiovascular anesthesiology through one or more of the following:
    • Research
    • Education
    • Service
  • Outline how these contributions impacted the filed of cardiovascular anesthesiology.

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* 12. If applicable, you may upload a 2nd letter of recommendation from an additional supporter of this candidate.

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* 13. If available, please upload a copy of the candidate's CV.

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* 14. Please list any comments regarding the distinguished service award candidate that you would like for us to know which are not listed in your statement of recommendation or their CV.

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