Nominations for the Annual Distinguished Service Award

To Be Eligible for Nomination, the Candidate:

Must be an anesthesiologist who has been an Active member in good standing in the Section on Anesthesiology in the OMA for a minimum of 10 years.

Provided significant service to the promotion of anesthesiology and/or its respective subspecialties in the Province of Ontario by having had an active role in:

  • Clinical Service or Excellence

  • Administrative and Leadership

  • Education and Teaching

  • Research and Scientific Work

  • Humanitarian and Altruism

Is not a member of the current Executive or its committee(s)

May be active or retired.

The award will not be given posthumously.

The award will be presented during the annual Ontario Anesthesia Meeting.

Have a question? Please contact Lindsay, the Section’s Communications and Administrative Coordinator, at lkneteman@ontariosanesthesiologists.ca

All nomination documents must be submitted to Lindsay by
Tuesday, August 6, 2019.

 

How to Nominate:        

  • Nominations for the Distinguished Service Award may be submitted by any Section member(s) of the Section on Anesthesiology in the OMA by completing this form.

  • One form is required for each candidate nominated and it must be received by August 6, 2019.

  • The nomination form may be downloaded from here: OA Distinguished Service Award Form, manually filled out and emailed to lkneteman@ontariosanesthesiologists.ca or you may complete its online version below.

  • Nominations and other supporting material are to be sent emailed to Lindsay, the OA Section’s Communications and Administrative Coordinator, at lkneteman@ontariosanesthesiologists.ca

Nominations shall contain extensive supporting documentation, including:

1.  Approved nomination form.

2. Nominee’s curriculum vitae.

3.  A detailed letter indicating why you believe your candidate deserves this honour. Please stress his/her significant contributions to anesthesiology or its subspecialties.

4.  Additional letters of support from two (2) other members of the Section on Anesthesiology in the OMA.

Nominations rejected by the Selection Committee may be reconsidered at a subsequent meeting or if the nomination is resubmitted.

 Upon nomination, the nominee will be contacted to confirm acceptance of nomination, and to obtain additional information.

 

First Nominator Information *
First Nominator Information
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Address
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Nominee Information *
Nominee Information
I am proud to nominate the following for the Distinguished Service Award:
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This individual has provided significant service to the promotion of anesthesiology and/or its respective sub-specialties in the Province of Ontario by having had an active role in*:
Nominee Address
Nominee Address
Nominee Phone *
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