Submission Page

Please submit your nomination for a forthcoming Lest We Forget page on the Excelsior Surgical Society website, hosted by the ACS, to honor the accomplishments and impact of military surgeons. Submissions will be reviewed by the Excelsior Surgical Society Executive Council and will be posted periodically. For questions please contact excelsior@facs.org

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* 1. Your name

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* 2. Your email address

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* 3. Name of nominee

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* 4. Email address of nominee (if applicable)

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* 5. Military affiliation of nominee

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* 6. Please provide a short (1-2 paragraph) description of the accomplishments or contributions the nominee has had toward the advancement of military medicine and/or the patient care of military members

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* 7. Please provide any additional documents or information you feel relevant

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