Business Name

Objective:

            To recognize a Uniformed Service Family Physician that has exhibited outstanding achievement in the provision, promotion or research in operational medical care.

Eligibility Criteria:

1. Demonstrated substantial contributions, dedication, initiative, leadership and/or resourcefulness in providing patient care in any operational environment.
2. Outstanding service, devotion, dedication or compassion while performing his or her duties in any operational environment.
3. Concepts, procedures or methods developed by the nominee which resulted in significant reduction in morbidity or mortality, workload required for mission accomplishment, financial expenditures or material utilization.
4. Involvement in continuing education as a researcher, participant, organizer or sponsor which directly and materially improves operational medicine.
5. Humanitarian or military community involvement that substantially improves the health and readiness of the service member, their families or the supported population.
6. Any other substantial contribution directly related to operational medicine no described above.
7. Must be in good standing in his/her medical community.
8. Must be a member of the USAFP.

The nomination materials must include:

1. Completion of the Nomination Form below.
2. A nomination letter explaining why this person should be selected written by the nominator.  Please e-mail to Matt Schulte at the USAFP Headquarters Office (mschulte@vafp.org).
3. CV of the nominated person.   Please e-mail to Matt Schulte at the USAFP Headquarters Office (mschulte@vafp.org).  
4. Other supporting documents - limit of 3 additional letters of recommendation.  Please e-mail to Matt Schulte at the USAFP Headquarters Office (mschulte@vafp.org).  

Complete the nomination form below and click SUBMIT.  Nomination forms must be received no later than December 15, 2009.

Nominee's Name:

Address:

City/State/Zip:

Your Name:

Address:

City/State/Zip:

Your Email:

 

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