2024 Gabriele Schindler Award Nomination Form

Eligibility Criteria

Please use this form to nominate candidates for the Gabriele Schindler Award. If you have any questions, contact SGNA Headquarters at info@sgna.org

Gabriele Schindler Award: This award recognizes the individual who demonstrates excellence in gastroenterology clinical practice and who exemplifies the skill, knowledge and compassion of Gabriele Schindler, an early pioneer of GI patient care. SGNA presents this prestigious award annually to the member who best represents Schindler’s spirit of compassion, commitment, professionalism and caring.

Question Title

* 1. Nominator

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. Nominee

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 3. Is the nominee a current member of SGNA and have they been a member for at least 5 years?

Yes

No

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* 4. Is the nominee employed as a care provider in clinical gastroenterology with a minimum of 5 years' experience?

Yes

No

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* 5. Is the nominee currently serving or has served on an SGNA national committee?

Yes

No