Distinguished Alumni Nomination Form The University of Florida College of Medicine – Jacksonville Distinguished Alumni Award is presented to the College of Medicine – Jacksonville residency or fellowship graduate who has achieved extraordinary success in their respective discipline and who has embodied the mission of the College of Medicine – Jacksonville. Nomination criteria The nominee must be a former resident or fellow who completed their training at the College of Medicine – Jacksonville and has not previously received the award. Nominees may be considered in future years with a new nomination form. The nominee must exhibit accomplishments in one or more of the areas that mirror the mission of the University of Florida College of Medicine – Jacksonville: to heal, to comfort, to educate and to discover through quality health care, elimination of health disparities, medical education, innovation and research. Nomination Instructions Complete the following form as accurately as possible. Please verify nominee contact information prior to submitting. Nomination forms should be submitted online or via mail by April 1, 2022. Nominations for 2022 are currently open. Printed forms may be completed and mailed to the Office of Educational Affairs, 655 West Eighth Street, Jacksonville, FL 32209. Honorees will receive a special invitation to be recognized at the UF College of Medicine – Jacksonville's annual Celebration of Resident and Fellow Education and Research Day at the downtown Jacksonville campus held annually in June. For questions or additional support, contact The Office of Educational Affairs by calling or emailing Charity Snodgrass at 904-244-3149 | UFJAXGME@jax.ufl.edu. Nomination Form The window for nominations is now closed for the year. The next nomination cycle will reopen in January, 2023.