Please enter full name with credentials.

*For Educator of the Year, please list college/university associated with the nominee.

Please list name and position title of the nominator.

Attach a narrative describing how the nominee meets the qualifications for this award. Be sure to cover all aspects of the award criteria. You may attach two (but only two) letters of recommendation. To view the award criteria, go to https://prsamd.org/about/awards/professional-awards/.