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Regional Award Application Form

NOMINATION FORM
WFO REGIONAL AWARD OF MERIT

Nominations for the WFO Regional Award of Merit may only be made by a WFO Fellow in good standing or a WFO Affiliate Organization in good standing. Nominees must be, or have been, a Fellow, Academic, or Retired Member of the World Federation of Orthodontists.

 

Name of Nominee         _________________________________________________________

Nominee's Affiliate Organization ________________________________________________

Nominating Affiliate Organization _______________________________________________ President________________________________

-or-

Nominating WFO Fellow ____________________________________________________

Address     ____________________________________________________________

Phone        ____________________________________________________________

Email         _____________________________________________________________

Please submit a letter of nomination that describes the distinguished service rendered by the nominee, describing fully the reasons the nominee should be considered. This letter should include a background statement supporting the nominee, along with any pertinent achievements and appropriate credentials. A curriculum vitae must be attached.

 

Please list authors of additional letters of support, if any are to be submitted.

1.    Name or Organization__________________________________________________

2.    Name or Organization __________________________________________________

3.    Name or Organization __________________________________________________

4.    Name or Organization __________________________________________________


Please e-mail, mail or FAX the completed form and supporting materials to the WFO at

 

World Federation of Orthodontists                                     Fax: + 1-314-985-1036

401 North Lindbergh Boulevard                                            Email:  wfo@wfo.org

St. Louis, Missouri 63141-7816 USA



 WFO REGIONAL AWARD OF MERIT

The WFO Regional Award of Merit was established in 2015 at the 8th IOC by action of the WFO Council to amend the WFO Bylaws. This award recognizes WFO members who have made significant contributions to orthodontics, whether through academic, research, clinical practice or organized orthodontic pursuits. Frequently, the stars and champions of our profession are well known in their region, but WFO members in other parts of the world are unaware of the magnitude or significance of their contributions to our profession. This award was established to solicit nominations from recognized WFO affiliate organizations, leaders and individual WFO members so these people receive the recognition they deserve.

Award Committee. The WFO Regional Award of Merit committee shall be comprised of the current members of the Executive Committee, with the President being committee chair. The Secretary­ General shall be a member of the award committee, but shall not have the right to vote. Voting by proxy is not permitted, but electronic, fax or mail voting is permitted should a member of the committee not be able to attend a face-to-face meeting. Decisions made by The WFO Regional Award of Merit committee are final and may not be challenged.

Nomination for the Award. Nominations for the award may be submitted to the Executive Committee by any WFO Fellow in good standing, or any WFO Affiliate Organization in good standing.  The WFO Executive Committee may decide to nominate a candidate for the award.

Eligibility. To be eligible for nomination for the WFO Regional Award of Merit, a nominee must be, or have been, a Fellow, Academic, or Retired Member of the WFO. Student or Honorary Members are not eligible for nomination.

Process. Nominations for this award may be made to the Executive Committee at any time. The nomination must be submitted on the WFO Regional Award of Merit form, and shall include the nominee's curriculum vitae. The nomination must include a narrative of no more than three typed pages in length, authored by the nominating fellow or organization, describing fully the reasons the nominee should be considered for the award. Supporting documentation from third parties may be included in the submission, but shall be limited to no more than two pages per third party submission.

The award(s) can be conferred at a meeting of the WFO-affiliated organization to which the recipient belongs or a regional meeting agreeable to the recipient and the WFO Regional Award Committee.

 

General Award Policies

  1. A wide range of contributions may be considered: academic pursuits, research or publication interests, contributions to clinical practice, humanitarian efforts, significant leadership in the development or improvement of local or regional orthodontic associations or certification boards, etc.
  2. This award may be granted to as many qualified recipients as the Awards Committee may decide albeit the committee in its sole discretion is not required to grant this award. Multiple recipients from a single region may be recognized.
  3. Once the Awards Committee has received a nomination, the committee has up to twelve (12) months to make a determination regarding the nomination. Majority vote of the committee shall be required to select an award recipient. The committee has wide discretion in the vetting of the nominee. The committee in the vetting process may solicit additional information or supporting documentation.

 

ACCESSIBILITY