The John Hinckley Outstanding Service Award

  • Honors an individual who has contributed to or advanced the field of cardiovascular anesthesiology through education, research, or innovative clinical work.
  • This individual must be a non-physician. Membership in the SCA is not required.
  • Examples of possible recipients include perfusionists, blood bank personnel, etc.

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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. Hinckley Outstanding Service Award Candidate's Full Name with Credentials

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* 6. Hinckley Outstanding Service Award Candidate's Institution

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* 7. Hinckley Outstanding Service Award Candidate's Email Address

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* 8. Hinckley Outstanding Service Award Candidate's Phone Number

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

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* 10. Only NON-physicians may receive this award. Is this Hinckley outstanding service award candidate an anesthesiologist or other type of physician?

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* 11. Upload your statement of recommendation for the Hinckley outstanding service award. Your statement should...
  • Outline the contributions the individual has made to the field of cardiovascular anesthesiology through one or more of the following:
    • Research
    • Education
    • Innovative Clinical Work
  • Outline how these contributions advanced 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. 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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