Nominate an alumni

Considering the selection criteria, please use this form to nominate an alumnus from the College of Health Professions for one of the following awards. The deadline for submitting nominations is Nov. 30, 2019 for consideration for a spring 2020 award presentation. Nominations received after the closing date of Nov. 30, 2019 will be considered for a 2021 award. Those received with incomplete information cannot be considered.  

Deadline: Nov. 30, 2019 for consideration in the spring 2020 award presentation.

Online Nomination

 

Your Contact Information

You may be contacted directly by an alumni staff member for additional information on the nominee.

Nominee's Contact Information

Nominee's Education & Professional Information

Please do not include any personal identification numbers such as social security or license numbers. You may send the CV at a later date to alumni@musc.edu or fax to 843-792-7787

Award Category (select one)

The Distinguished Alumnus Award - Health Administration is presented to an alumni member for outstanding, unique, and enduring service to the alumni association, the college, their community, and/or their profession over a period of 10 years or more. Previous recipients are not eligible.
The Distinguished Alumnus Award – Clinical Practice is presented to an alumni member for outstanding, unique, and enduring service to the alumni association, the college, their community, and/or their profession over a period of 10 years or more. Previous recipients are not eligible.
These actions should reflect a member's contribution in terms of time and/or expertise. The actions should serve to benefit a deserving population and as an inspiration to others. Previous recipients are not eligible.
The nominee must be an alumnus of the College of Health Professions who has been in practice 10 years or less. The nominee must have demonstrated leadership in practice, education, service, research, and/or the community. Nominees must demonstrate an ongoing passion to participate in CHP Alumni Association activities and/or in alumni activities within the College of Health Professions. Previous recipients are not eligible.
The nominee must be an alumnus of the College of Health Professions who makes meaningful contributions to scientific knowledge of their profession and has demonstrated excellence in the performance of research.

Please provide a brief statement on why you have nominated this individual for the CHP Alumni Association’s Award