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2021 Foundation of the AAGL: Barbara S. Levy AchieveHER Award Application

Barbara Levy, MD, FACOG, FACS, is a lifelong advocate for advancing the quality and equity of women’s health, an inspiring leader and mentor, and has broken through barriers to women in medicine. The Barbara Levy AchieveHER Award was established in 2021 to recognize female leaders in minimally invasive gynecologic surgery (MIGS) who exemplify the qualities of Dr. Levy.

This application may be submitted to nominate a qualified individual or for self-nomination. An FAAGL designated committee will review all applications and select a winner. Winners will be notified by August 31, 2021. The winner chosen will receive Global Congress registration, recognition of this prestigious award and presentation of a beautiful commemorative statue at the AAGL's 50th Global Congress on Minimally Invasive Gynecology. Additional winnings to be determined by the Foundation of the AAGL Board of Directors.

Applications are due by midnight, PST on Friday, August 20, 2021.

Award Eligibility:
The nominee must be recognized as female leader in MIGS who has paved the way for female MIGS surgeons and meets the following requirements:
  • 5 -15 years out of (fellowship) training
  • Served in leadership roles for the AAGL or other societies
  • Considered an influential mentor to others for five or more years
  • Must be a member of the AAGL
  • Must be a Practicing Physician
  • If selected and travel restrictions permit, the winner must attend AAGL’s 50th Global Congress to accept the award in person at the General Session Monday morning, November 15, 2021.
Required Documents for Nominations:
  • A current curriculum vitae (CV) of the nominee
  • Self-nominations must include a letter of reference
This award is supported by an educational grant from Medtronic.

* Required Fields
1. Contact Information of Nominee: *This question is required.
2. Contact Information of the Individual Completing This Application:  *This question is required.
4. Is this nominee a current member of the AAGL?  *This question is required.
5. Is this nominee currently a practicing physician?  *This question is required.
8. Provide the name of three other people who have benefited from the nominee's mentorship: *This question is required.
10. If selected as the winner of this award, is this nominee able to attend General Session in-person on Monday morning, November 15, 2021 at the AAGL's 50th Global Congress in Austin, Texas? *This question is required.
12. Please upload the current curriculum vitae (CV) of the nominee:  *This question is required.
13. If you are nominating yourself, please upload a letter of reference: