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Canadian Paediatric Society
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Submit your nomination

If you are experiencing difficulty, documents can be e-mailed directly to awards@cps.ca. This form is best filled out using Internet Explorer 8 or higher, Google Chrome or Firefox.

Candidate

Documents must be uploaded in .doc, docx. or pdf format.


Nominator

Nominator MUST be a CPS member

Documents must be uploaded in .doc, .docx or .pdf format.


Seconder

The seconder MUST be a CPS member

Documents must be uploaded in .doc, .docx or .pdf format.


Documents must be uploaded in .doc, .docx or .pdf format.

After you select "Submit", it could take a few minutes for your form to submit. Do not leave this page before receiving a notice that your nomination has been sent.

Last updated: Aug 11 2017