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Kaiser Permanente Awards for Excellence in Teaching

Nomination Form

Person nominated:  Course taught: 
Nominated by:  Student: M1 M2 M3 M4
Your email address:
For preclinical teaching:  For clinical teaching: 
Please submit a brief synopsis that describes superior teaching abilities and other reasons this person should be considered for the Kaiser Award: 

All nominations must be submitted by December 13, 2013.