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2023 NSCFP Award Nomination


Please complete the required information marked with an asterisk. Completing the additional information is helpful, but not required.


If your nomination is successful, we will contact you via email to confirm your nomination and give you an opportunity to add more detail if preferred.


All CFPC members are invited to submit nominations for NSCFP Awards. Health care colleagues, community leaders, and patients are encouraged to submit letters of support for any nomination.


DEADLINE TO SUBMIT NOMINATIONS: 13 March, 2023



* Nominee Name:
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* Which award would you like this nominee to be considered for?
* Nominee City/Community:
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* Your Name:
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* Your Email:
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* Reason(s) for this nomination:
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Please give a brief summary/biography of the candidate or add any additional information:
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