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AAOS Awards Nomination for the Diversity Award

Questions marked with a * are required

Nominator's Name

Nominator's City/State

Nominator's Email Address

Nominee's Name

Nominee's City/State

Nominee's Email Address

Please share specifics as to how the nominee is actively involved in activities that promote diversity.

How is your nominee actively participating in recruiting people from diverse ethnicity/gender into the field of orthopaedics?

Please share how the nominee has successfully mentored individuals of diverse ethnicity/gender to help them prepare for a career in orthopaedics.

Please explain the impact of your nominee's activities in the diversity arena on providing orthopaedic care to underserved populations.

Please describe how the nominee has impacted healthcare disparities in his/her community.

Please describe how the nominee's permanence of change, improvements persist beyond his/her direct involvement.

How are the nominee's contributions considered to be far-reaching, impacting the many- not the few?

Please describe previous recognition of candidate for his/her mentoring/diversity activity.

Please share nominee's authored/published materials that address diversity, culturally competent care and/or health care disparities.

Please explain the nominee's ability to lead by example and embody the diversity issues in orthopaedics.

Explain why you believe your candidate deserves to be named the AAOS Diversity Award recipient. (Minimum of 500 words)

Please attach up to two letters of support describing the nominee's contributions to orthopaedics and why you feel they should be considered for the Diversity Award.