Nominate Someone for: 
USU AOA Resident Teacher of the Year

Thank you for taking the time to recognize the excellence of a resident in our military health system.  This award will recognize one outstanding resident physician for for exceptional achievement related to teaching and mentoring that best exemplify the values of AOA.  

Nominations can be made by a program director, department chair, or any existing AOA member. Nominees do not need to USUHS graduates or existing AOA members, and can have a M.D. or D.O. degree. To nominate an applicant, submit a letter (using the form below) no more than 2 pages in length highlighting the teaching and mentoring excellence of the nominee.  Submissions of a nominees CV will not be necessary or considered as part of the awards process.

Please return nominations by 1 April 2018.  The awards committee, chaired by an AOA Faculty chapter member, will evaluate the applications and selection and announcement of the award recipient will be made by mid-to-late April. The award recipient will be invited to attend the USU AOA Chapter Annual Banquet in mid-May if they are able to attend. We thank you very much for your time and look forward to recognize the outstanding achievements in teaching. 

Please follow all directions carefully, and be advised that there is no save feature on this form, so we suggest copying and pasting your letter from a saved document.  

Honor Statement *
I hereby affirm that all of the information I am going to report in this form is truthful to the best of my knowledge, and that I am eligible to nominate by the guidelines stated above.
Your Information
Your Name *
Your Name
If you are not a program director or department chair, you must provide an AOA Membership Number to verify your eligibility to nominate.
Nominee Information
Nominee's Name *
Nominee's Name
Nominee's Phone Number
Nominee's Phone Number
This will be our backup means of contacting the nominee. Please use numbers only, no punctuation or spaces.
This is important to verify the applicant's eligibility to be nominated.
Please let us know the field in which the nominee works.
Please copy and paste your letter of recommendation here, detailing your reasons for nominating this candidate. Application packages are evaluated based on five areas: scholarship (i.e. academic achievement/research), leadership, service, professionalism, and teaching/mentoring.
We do not inform candidates of the source of their nomination as a matter of course, but if you would like us to ensure that your nomination is kept anonymous, please select "yes."