Nominations

Nomination Requirements

Before submitting your nomination, please review the following information to assist you in submitting an appropriate nomination.

• Nominees are at the Associate Professor or Professor level.
• Nominees are current faculty at Washington University.
• Nominees have at least 20 years as faculty in academic teaching setting. Academic appointments held prior to joining Washington University may be included.
• The statement of qualifications should include how the nominee’s contributions align with the criteria matrix.
• Three individuals must be listed who are willing to write a letter of support validating the nominee’s contributions. The nominator may list themselves as a letter writer. One letter must be submitted at the time of initial nomination.
• Supplementary documentation examples can be provided if relevant and available.

Lifetime Achievement Nomination Form

• About you

• Your name*
  First name Last name Suffix
• Your email address*
• Your School of Medicine affiliation*
  • Faculty member
  • Course leader
  • Program director
  • Department/program/school leader
• Your department/program/school*

• About your nominee

• Nominee's name*
  First name Last name Suffix
• Nominee's department/program/school*
• Nominee's title (including level)*
• Statement of qualifications and contributions*
  Lifetime Achievement Award recipients are selected based upon demonstrated excellence and expertise in education as confirmed by the criteria matrix provided above.
  Drop files here or Select files

  Max. file size: 32 MB.

• Nomination support

• List three individuals who are willing to write a letter of support if contacted by the Selection Committee.*

  If your nominee is selected as a finalist, the selection committee will contact these individuals to write a letter of support. The nominator can list themselves as a letter writer.

  Please obtain permission from each person before listing their name on this form, and advise them to not write a letter unless contacted.

  First name Last name Title / Affiliation
• *
  First name Last name Title / Affiliation
• *
  First name Last name Title / Affiliation
• Supplementary documentation
  Please upload supplementary documentation if relevant and available.
  Drop files here or Select files

  Max. file size: 32 MB.
• Comments
  This field is for validation purposes and should be left unchanged.

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