Submit an Honor, Award or Certification

Have you received an honor, award or certification? Please use this form to send us information for possible use in print and electronic publications. For presentations or publications, see the Presentations/Publications Form.

Recipient Information:

Name:

Doctoral Degree
(if applicable) :

School/Unit:

Academic Affairs

Central Administration

Dental Branch

Graduate School of Biomedical Sciences

Harris County Psychiatric Center

Institute of Molecular Medicine

Medical School

Mental Sciences Institute

School of Health Information Sciences

School of Nursing

School of Public Health

Department:

Status:

Faculty

Post Doctorate

Resident

Staff

Student

Title:

E-mail:

Phone No.:

Do you have a print quality (2 inches wide and at least 300 dpi, if digital) headshot to submit for consideration?

Yes No

Do not send it unless we contact you.

Kudo Information:

Date of honor/certification:

Awarding Organization:

What honor, award or professional certification was earned? Explain the significance.

Submitted by: (if different from recipient)

Name:

E-mail:

Phone No.:

This box must blank be blank to submit this form.

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