Nomination form for the: JOWMA Outstanding Achievement in the Community Award
The JOWMA Outstanding Achievement in the Community Award will be awarded a female physician who has served the Jewish Orthodox community for 20 years or more, OR, to a female physician who has shown exemplary dedication to the medical profession and served as a role model for young Jewish Orthodox women through her medical career of 20 years or more.
Your name: *
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Your email address: *
Your answer
Nominee's name (MUST hold an MD/DO/MBBS degree): *
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Nominee's email address: *
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Nominee's medical specialty: *
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Nominee's most recent or current place of work (hospital, clinic, etc): *
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In 500 words or less, please share why do you believe this individual deserves this award. *
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