Leonard Tow Humanism in Medicine Awards – Interim Report Form

NEW in 2022: The Tow Interim Report Form now includes 3 checkboxes acknowledging participation in this year’s award program and agreement to follow the Tow Procedures and Criteria 2022.These updates were launched in conjunction with the new Tow Award Agreement.

Due:
March 14, 2022 (or at least 60 days before presentation date)

Instructions for report completion:
  1. Complete all required fields. Incomplete submissions (without proper bios and headshots) will not be accepted. Please note that bios and headshots are required for internal processing of the award and will not be shared publicly.
  2. To aid you in gathering required information and preparing this form, we have provided this downloadable worksheet (Word doc), as there is no “save form” feature.
  3. In order to complete your form you will need:
    • A brief biosketch of each awardee including the awardee’s humanistic qualifications (not a CV or resume)
    • A headshot photo of each awardee
  4. Once you submit, you will receive a confirmation email that includes all the form fields.

For more information, contact Michelle Sloane, Grants/Programs Manager, at msloane@gold-foundation.org.