Junior Investigator Award Application Form

SHM's Junior Investigator Award Application

SHM’s Junior Investigator Award was created for junior/early-stage investigators, defined as a faculty within five years of first faculty appointment. Please read thoroughly through the requirements and ensure you have all the necessary documentation before submitting. Applicants must be a hospitalist, clinician-investigator, or a non-clinical investigator whose research interests focus on the care of hospitalized patients, the organization of hospitals, or the practice of hospitalists. Applicants must be members of SHM in good standing. Nominations from mentors and self-nominations are both welcome. The deadline to submit your application is December 7, 2020.

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Select award application

I am nominating

Submitter's Full Name

Submitter's Email

Nominee Full Name

Nominee E-mail

To which gender identity does the nominee most identify?

To which ethnicity/race does the nominee most identify? (Check all that apply)

Nominee Title

Specialty Area of Focus

If specialty is "other", please specify

Nominee Organization/Institution

Practice Setting

If practice setting is "other", please specify

Relation to Nominee

Cover Letter

Letter of Support from the Dept. Chair or Supervisor (not to exceed one page)

Standard NIH Bio Sketch (not to exceed five pages)

One Page Description of Specific Aims or Personal Aspirations

Supplementary Information (not to exceed three pages)

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Junior Investigator Award Application Form

SHM's Junior Investigator Award Application

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