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Lifetime Achievement Award Nomination Form

Diabetes Canada established the Lifetime Achievement Award in 2007 for the purpose of recognizing achievement for a lifetime commitment to research excellence. The award is bestowed upon a prominent Canadian MD or PhD medical scientist who is recognized and nominated by their peers for longstanding contribution to the Canadian diabetes community and a leader in diabetes research.

The award consists of a physical award, a cash award and travel and accommodation to attend the Diabetes Canada/CSEM Professional Conference. The award recipient is recognized at and invited to give a research lecture during the Diabetes Canada/CSEM Professional Conference.

Eligibility
A nominee must:
  • Be an MD or PhD who is either a Canadian citizen or resident of Canada;
  • Have demonstrated career commitment to new knowledge and discovery in diabetes research and;
  • Have contributed significantly to the Canadian diabetes community through the commitment of time, skill or new knowledge or implementation in diabetes research.

Nominations will stand for three years.
1.Nominator's Full Name(Required.)
2.Nominator's Email Address(Required.)
3.Nominee Full Name(Required.)
4.Nominee's Email Address(Required.)
5.Nominee's Title
6.Nominee's Institution
7.Please submit the nominee's curriculum vitae. You are encouraged to use a narrative style CV and follow the CIHR Tri-agency CV template: https://cihr-irsc.gc.ca/e/53574.html
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8.Please submit a one-page outline of the nominee's greatest diabetes research contributions and/or publications, and rationale for nominating them for the Lifetime Achievement Award.
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9.Please upload the first letter of recommendation.
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10.Please upload the second letter of recommendation.
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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.

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