Award of Excellence Nomination Form

Nominee Information

Please fill out the information of your nominee here.

First Name

Last Name

Email Address

Department, graduate group and/or major

Nominator Information

Please fill out your information here.

First Name

Last Name

Title

Department

Email Address

Academic Information

Academic Status

Undergraduate

Graduate

Postdoctoral Scholar

Primary Mentor

Other Mentor(s)

Relationship to Nominee

Your professional relationship to the nominee:

Mentor

Advisor

Colleague

Other…

Nomination Statement

Please upload a brief description of the nominee’s overall contributions to the UC Davis Comprehensive Cancer Center’s mission. Consider their impact on research, policy, clinical care, or community outreach and include specific examples of how the nominee has demonstrated excellence in:

Teamwork and Collaboration
Personal and Professional Development
Research Productivity and Quality
Contribution to Health Disparities
Innovation and Impact

One file only.
100 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

Supporting Documentation

Maximum 3 files.
100 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

For questions about this application, please contact hs-cancerscholars@ucdavis.edu.

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