Finkelstein Award Nomination Form

Nominee's Name*:

Nominee's Role/Title*:

Nominee's Organization*:

Nominee's Email*:

Nominee's phone number*:

( ) -

Name*:

Name of person nominating an individual

Relationship to Nominee*:

E.g. Patient

Organization*:

Organization of person nominating an individual

Email*:

Email of person nominating an individual

Phone number*:

( ) -

Phone number of person nominating an individual

Why are you nominating this individual for the Finkelstein Award?*:

(Please describe their contributions, impact, and any specific accomplishments related to Crohn’s and colitis.)

Has the nominee received prior recognition for their contributions?*:

(If known, please mention any awards, honors, or public acknowledgments. If unknown, please type NA.)

How has the nominee demonstrated excellence through their efforts?*:

(Share examples of their dedication, leadership, advocacy, or other impactful work.)

Additional Information*:

I recommend that the Awards Committee also consider the following factors in judging the merit of this nomination: (200 characters max)

Upload support file 1:

Please upload any information you believe will be of assistance to the Selection Panel as it considers this nomination. If you have any additional supporting materials (e.g. letters of support), you may attach them as a pdf document here.

Upload support file 2:

Security code:

Enter security code:

Quick FactFaits en bref

Canada has among the highest incidence rates of Crohn's and colitis in the world.
1 in 140 Canadians lives with Crohn’s or colitis.
Families new to Canada are developing these diseases for the first time.
Incidence of Crohn’s in Canadian kids under 10 has doubled since 1995.
People are most commonly diagnosed before age 30.

Finkelstein Award

Finkelstein Award Nomination Form

Quick FactFaits en bref

Other Areas of Interest