Leonard Tow Humanism in Medicine Award

Leonard Tow Humanism in Medicine Awards – Interim Report Form

2024 updates to the Tow Interim Report Form:
  • New checkbox acknowledging the new procedures in accordance with the 2024 Tow Procedures and Criteria.
  • All fields requesting a physical address have been removed.

Deadline to submit: March 25, 2024 (or at least 60 days before award ceremony)

Instructions:

  1. Complete all required fields. We will not be able to issue the full award package until we receive an acceptable biosketch, reflecting the awardee’s humanistic qualities, and a headshot, for each recipient.
  2. There is no “save” feature, so please consider gathering all the required information using this downloadable worksheet (Word doc).
  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 completed form fields.

If you have trouble with the form, it usually resolves by trying a different browser. If you have questions, contact Michelle Sloane at msloane@gold-foundation.org.