Kansas Exemplary Teaching Award
This is the official nomination form for the 2018 Kansas Exemplary Teaching Award. The deadline to receive nominations is December 30, 2017. If your files are too large to upload, or you prefer to submit via email or U.S. Mail, please abandon this form and submit your nomination including the below requested information.

Email:
mspexarth@kafponline.org

U.S. Mail:
Kansas Academy of Family Physicians
7570 W. 21st St. N. Bldg. 1026, #104
Wichita, KS 67205

Your Contact Information
Your Name *
Your Email *
Your Phone Number
Your Address
Your City, State, Zip
Your Nominee
Your Nominee's Name *
Which category of teaching is your nominee? *
A current curriculum vitae of the nominee is required. Please upload here. Include nominee's name in the file title.
Nominee Criteria for Kansas Exemplary Teaching Award:
Nominees for the KAFP Exemplary Teaching Awards will be evaluated based upon the following criteria:
1. Recognized for exemplary teaching skills by medical students, residents, or peers; OR
2. Developed and implemented innovative new teaching model(s) or program(s); AND
3. Must be a current KAFP member in good standing.
Upload your nomination letter explaining why your nominee should be selected for the Kansas Exemplary Teaching Award.
Alternative Submissions
If your files are too large to upload, or you prefer to submit via email or U.S. Mail, please abandon this form and submit your nomination including the above requested information.

Email:
mspexarth@kafponline.org

U.S. Mail:
Kansas Academy of Family Physicians
7570 W. 21st St. N. Bldg. 1026, #104
Wichita, KS 67205

Thank You
Thank you for your nomination for the 2018 Kansas Exemplary Teaching Award. Two winners will be selected (one in the full-time/part-time category and one in the volunteer category). Winners will be notified in February 2018. Please contact Marina Spexarth with questions - mspexarth@kafponline.org or 316-721-9005.
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