2021 SMDM Award Nominations Submission Form

2021 SMDM Awards Nominations Submission Form

Please complete this award nomination form. You will need to complete a separate nomination form for each candidate that you are nominating. Click here to view guidelines for submitting an award nominee. All nominations must be received by Monday, March 1 at 5 PM ET.

Please write Teresa Belmont (info@smdm.org) if you have any questions.

Question Title

* 1. Please enter the name of the person you are nominating for an award:

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* 2. Which award are you nominating this person for?

Career Achievement Award

SMDM Award for Distinguished Service

John M. Eisenberg Award for Practical Application of Medical Decision Making Research

Outstanding Paper by Young Investigator Award

Lee B. Lusted Sub-Award Nominations: Health Services Outcome and Policy Research

Question Title

* 3. Please upload any additional information (CVs, Letter of Support) to support your nomination.

Please combine all information into one file prior to uploading.

PDF, DOCX, DOC file types only.

Choose File

2021 SMDM Award Nominations Submission Form

2021 SMDM Awards Nominations Submission Form

Question Title

* 1. Please enter the name of the person you are nominating for an award:

Question Title

* 2. Which award are you nominating this person for?

Question Title

* 3. Please upload any additional information (CVs, Letter of Support) to support your nomination.

Question Title

* 4. Nominator's Name

Question Title

* 5. Nominator's E-Mail Address