Pathology and Laboratory Medicine

NOMINATION FORM – for Teaching Residents and/or Fellows

Education Award Nomination FORM 2026

Categories:

Undergraduate education (e.g. BMLSc students, medical students) and/or graduate and post-doctoral education (formal/classroom teaching, mentoring, thesis supervision) (1 award)
Resident and fellow education (formal/classroom teaching and informal) and/or continuing professional development, knowledge translation, and/or educational activities (1 award)

Nominee’s Name:(Required)

First Last

Nominee’s Email(Required)

Nominee’s Current Academic Rank(Required)

Nominator : Name(Required)

Nominator : email address(Required)

Is this nomination for

Undergraduate education (e.g. BMLSc students/ medical students) and/or Graduate and Post‐Doctoral education OR

Resident and Fellow education

A nomination letter explaining how the nominee excels in teaching (500 words maximum)(Required)

Nominations may include one additional letter of support.

Max. file size: 20 MB.