2021 Community Service Award Nomination
Nominations must be received by October 22, 2021
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Email *
Your Name *
Award Criteria
Nominees must meet the following criteria to be considered:
1. PCMS Member in good standing (Active or Retired)
2. Demonstrates leadership and participates in community activities
3. Contributes to the advancement of the medical profession
Nomination
List nominees' name below with a brief paragraph below describing the nominees' community leadership and involvement. This may include specific activities the nominee is involved in.
Nominee Name & Brief Paragraph *
List nominees' name below with a brief paragraph below describing the nominees community leadersihp and involvement. This may include specific activities the nominee is involved in.
Thanks for your nomination!
The Community Service Award is scheduled to be presented at the PCMS Holiday Event (Annual Meeting), Wednesday, December 8, 2021. Questions? Send email to mary@pcmswa.org
A copy of your responses will be emailed to the address you provided.
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