2020 SGIM Mountain West Awards

Question Title

* 1. Which award would you like to nominate for?

Advocacy and Community Service Award

Award for Excellence in Clinician Education

Leader in General Internal Medicine (LGIM) Award

Award for Excellence in Clinician Investigation

Question Title

* 2. Name of Nominee

Full Name

Email Address

Question Title

* 3. Upload a letter of nomination from a SGIM Member

Question Title

* 4. Upload a letter of nomination from Division Chief

Question Title

* 5. Upload a CV

Question Title

* 6. What is your full name?