Awards Nominations

Thank you for your submission for consideration for the Texas Chapter Awards in recognition of the great work members are doing across the state.

Please include the following in your submission:

Nominator contact information
Nomination Letter
Nominee's CV
Nominee's Contact information
Additional letters of support (optional)

Questions? Please contact the chapter office at 512-309-8741 or Nicole@aminc.org.

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* 1. Nominator Contact Information

Name

City

Email Address

Mobile Phone Number

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* 2. Chapter Award

Early Career Physician Leader of the Year

Texas Chapter Volunteerism and Community Service

TXACP Services Snyder/Chumley Advocate of the Year

Bluebonnet Award -Women in Medicine

Texas Chapter Laureate Award

*NEW* Resilience Award

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* 3. Nominee Contact Information

Full Name of Nominee *

City/Town

Email Address *

Phone Number *

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* 4. Letter of Recommendation

Please upload a detailed letter of recommendation, or simply fill in the text box below.

PDF, DOC, DOCX file types only.

Choose File

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* 5. Letter of Recommendation (if unable to upload pdf file)

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* 6. Nominee's CV

Please upload below. If you need assistance, please contact staff or email CV directly to Nicole.Abbott@texmed.org

PDF, DOC, DOCX, PNG, JPG, JPEG file types only.

Choose File

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* 7. Additional Letter of Support (optional)

Please upload a letter of support, or simply fill in the text box below.

PDF, DOC, DOCX file types only.

Choose File

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* 8. Additional Letter of Support (if unable to upload pdf file)

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* 9. Additional Letter of Support 2 (optional)

Please upload a letter of support, or simply fill in the text box below.

PDF, DOC, DOCX file types only.

Choose File

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* 10. Additional Letter of Support 2 (if unable to upload pdf file)

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* 11. Questions? Please include below or chapter office by email Nicole@aminc.org, or voicemail (Office: 512-309-8741) and staff will return your call.