Community Service Award
Nominations may be submitted by community groups, non-profit organizations, public and members of MSPEI. Nominations can be submitted in the form of an online form, letter or email.
Closing date for entries: Midnight, September 21, 2017.
Email: awards@mspei.org
Mail: Medical Society of PEI, 2 Myrtle Street, Stratford, PE, C1B 2W2
Overview:
Many leaders go unrecognized, but their efforts are felt deep in the heart of our communities. Healthy communities are places where people of all ages can grow and thrive – places where people have access to a good education, a decent job and a safe place to live.

Recognizing the many activities that determine health beyond the provision of medical services, this award will go to a physician who contributes to the health and well-being of a community through their public service.

Criteria:
• Makes a significant contribution to the health and well-being of their community outside the practice of medicine.

• Demonstrate an understanding that health starts where we live, learn, work and play.

Tips for writing your nomination:
Describe how the physician has made a significant contribution to the health and well-being of his/her community.

Provide examples of how the physician understands that health starts where we live, learn, work and play.

What are some of the physician’s personal characteristics that have made his/her achievements possible?

Name:
Your answer
Community Group/Non-Profit Organization (if applicable):
Your answer
Email/Phone:
Your answer
Physician Name:
Your answer
Describe how the physician has contributed to the health of his/her community:
Your answer
How has your community changed or improved because of this physician’s involvement?
Your answer
What three words would you use to describe this physician?
Your answer
Please share any additional information that demonstrates the physician’s contributions to the health of his/her community:
Your answer
2016 Community Service Award
Dr. Heather Keizer was honoured for her involvement the Learning Disabilities Association of PEI with the 2016 Community Service Award.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms