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Peter Snow Memorial Award 2022
Nomination for Innovation, Service or Research
Nominee
Name of nominee
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First name
Last name
Email address
*
Phone number
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Place of work
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Position
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Nominated for (tick one box):
Innovation or Service
Research
Description of Innovation or Service
This should include a review of the literature if appropriate, evidence or testimonials, and a clear description of how the service or innovation has impacted on rural health.
Description of Research Project
This should include a review of the literature if appropriate, a clear description of methods, evidence or testimonials and a clear description of how the project has impacted on rural health.
Additional information about nominee
Any additional information you want to include about the nominee that is relevant to this award.
Nominated by:
First nominator
Your name
*
Email address
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Phone number
*
Second nominator
Your name
*
Email address
*
Phone number
*
If you would like to include an additional letter of recommendation or support in your nomination, please email this to communications@rgpn.org.nz
Please check the highlighted fields
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