MAA Distinguished Service Award Nomination Form

The Nominating and Awards Committee of the Medical Alumni Association invites you to submit nominees for its Distinguished Service Award, which is presented each year during the MAA Distinguished Awards Celebration during Alumni Weekend. If possible, please send the nominee’s C.V., other documentation of his/her accomplishments or a comprehensive letter of recommendation for review and consideration by the Committee.

Distinguished Service Award

Recognizes an alumnus, former house officer or a non-alumnus who has made outstanding contributions to the Medical Center. This individual, through volunteerism, philanthropy or leadership, will have benefited the institution in a significant way.

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Nominated by: