Leadership Award – IAPHS – Interdisciplinary Association for Population Health Science

Leadership Award

2025 - Leadership Award

Nominator Information

Name

Email Address

Affiliation

Nominee Information

Name

Email Address

Affiliation

Nomination Overview - Describe the nominee's contributions and leadership, highlighting the following criteria: accomplishments, commitment to translation, values, and role as a mentor.

2500 Character Limit, including spaces

Upload: Current CV of Candidate (PDF File)

Maximum file size: 67.11MB

Signatures of Support

Signatures of support are not required. However, if you have multiple individuals wishing to nominate this individual, please submit one nomination and add all signatures of support to the form.

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