Missouri State Medical Association | Jefferson City, MO |
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  • Home
  • Headquarters
    • Contact
    • MSMA President
    • Leadership
    • MSMA Constitution Bylaws
    • MSMA Policies
    • Events
  • Advocacy
    • Physician of the Day
    • White Coat Day
    • Action
    • Legislative Review
    • Marijuana Law
    • BigWins
    • Patient Advocacy
    • Collaborative Practice
    • MMPAC
    • AMA
  • Membership
    • Engage
    • Login
    • Join/Renew
    • Membership Types
    • Membership Dues Categories
    • Leadership Opportunities
    • Recruitment Tools
    • Women Physicians Section
    • Young Physicians Section
    • Residents
    • Students
    • Student Mentorship
    • Local and Specialty Societies
    • Endorsed Partners and Vendors
  • Communications
    • Missouri Medicine
    • Progress Notes
    • COVID >
      • COVID Resources
      • COVID Vaccine
      • CV19 Education
    • Marijuana Education Resources
    • Opioid Education Resources
    • Guide To Controlled Substances
    • Guide to Medical Records
    • Guide to Closing a Medical Practice
    • Council Meeting Highlights
  • Annual Convention
  • CME Education
    • CME Providers
    • CME Handbook
  • Practice Management
    • Eprescribe
    • Practice Management Updates
    • Theft Scam Prevention
    • Emergency Response
  • Public Health Resources
  • Alliance
  • MSM Foundation
  • Missouri Physicians Health Program
  • MSMA Insurance Agency

Alliance "Jean Wankum Spirit of the Alliance" Nomination Form

  • Established in 2006
  • Named in honor of MSMA Alliance President Jean Wankum of Jefferson City
 
Criteria
  • Honors an Alliance member who has shown a significant contribution to his/her community through projects, programs or responsibilities OUTSIDE of the Alliance
  • An attitude and commitment to the betterment of the community at large
  • A candidate may ALSO be nominated as being a loyal and faithful Alliance member and for continuing to support and take part in Alliance activities and responsibilities over a number of years at a state or local level
  • May be nominated by ANY Alliance member or county Alliance
 
Nomination Procedure
Submit below form with the following:
  • List the project(s), program(s) or contributions made by the nominee and the role of the nominee
  • Describe the impact on the community that the nominee has made through his/her work
  • Limit the application to no more than two typed pages.
  • Judging will be carried out by a committee of present and past state board members.
 
Nomination Form should include the following:
  • Name of the nominee
  • Number of years nominee has been in the Alliance
  • County Alliance Name
  • Alliance contact name, e-mail address, phone number, cell phone number
 
Deadline for Nomination March 1.


Submit
Download PDF of criteria.  Contact Barbara Hover at Arhover2@aol.com or call 417-860-7133.
Copyright 2021 Missouri State Medical Association.  All Rights Reserved.
113 Madison Street |  P.O. Box 1028 |  Jefferson City, MO 65102
Phone: (573) 636-5151 |​ lfleenor@msma.org
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