Submission Form for Honor or Award
(Only award winners; no nominees please)

* Name and Academic Title of Award Recipient
* Title and Brief Description of Honor/Award
(i.e: why awarded, criteria for selection if applicable, number of nominees for award, history of award, any unique characteristics of award that makes it prestigious)
Amount of Award
(only if monetary reward/stipend accompanies honor)
Organization Sponsoring Award
Date Award was/will be Announced/Presented
Meeting and/or Location where Award will be/was Presented
* Contact Information
(email/phone number) in case USF Health Communications has additional questions
To proceed, please input the text displayed on the image below.