Please complete this form following the awards presentation. This information will enable the Foundation to evaluate the program's impact.
Instructions for report completion:
City, State, Zip
Contact Person Name
Title & Department
Date of Commencement or Awards Ceremony (YYYY-MM-DD)
Briefly describe the presentation ceremony. Include the name of who presented each award.
Briefly describe the impact that the Leonard Tow Humanism in Medicine Awards presented by the Arnold P. Gold Foundation has had on: the award recipients, the student body, and the medical school faculty.
Do you plan to make any changes to this awards program next year? If so, please describe.
Please let us know of any suggestions you have concerning the award procedures.