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Fellow Nomination Documents - The Southern Society for Clinical Investigation
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Fellow Nomination Documents

This form is used to upload documents and a photo for the fellow nominee listed below. Please upload your documents as an Adobe PDF file format. Then upload the nominee's photo as a JPG image format. Plesae be sure to click the blue button at the bottom of the page labeled Upload Documents/Replace Documents to submit the new files and/or photo.  Finally, if you submit a document or photo, it will overwrite the existing document for that category, if one exists.

Nominee Information:
Prefix[VAR_MEMBERSHIP_PREFIX]
First Name[VAR_MEMBERSHIP_FIRST_NAME]
Last Name[VAR_MEMBERSHIP_LAST_NAME]
Suffix[VAR_MEMBERSHIP_SUFFIX]
Credentials[VAR_MEMBERSHIP_DESIGNATION]
Degree[VAR_MEMBERSHIP_DEGREE]
Position/Title[VAR_MEMBERSHIP_TITLE]
Brief Nominee Statement:
Document
Date Submitted
2020-08-06 12:43:31
Nominee CV:
Document
Date Submitted
2020-08-06 12:43:31
Primary Nominating Letter:
Primary Nominating Letter
Date Submitted
2020-08-06 12:43:31
Seconding Nominating Letter:
Document
Date Submitted
2020-08-06 12:43:31
Nominee Photo
nominee-photo

Date Submitted
2020-08-06 12:43:31



       



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