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2021 Foundation of the AAGL: Franklin D. Loffer Award Application

A passionate leader and advocate, Franklin D. Loffer, MD, FACOG, has worked diligently to develop and guide the organizational and medical policies of the AAGL. With a thoughtful approach and exceptional commitment, he has given over 20 years of service to the AAGL in the roles of Board President, AAGL Medical Director and Executive Vice-President (2000-2018) and Emeritus Medical Director of the Foundation of the AAGL. Dr. Loffer has been a mentor and champion to countless AAGL members and has made a tremendous impact on women’s health through his contributions to minimally invasive gynecologic surgery.

Established in 2018, this award will honor the outgoing AAGL President’s leadership by providing support to bring an Ob/Gyn resident to AAGL’s 50th Global Congress in Austin, Texas, November 14-17, 2021. Residents who have been selected by their chair to receive the 2021 AAGL Honorary Resident status are eligible for this award. Nominees must be a member of the AAGL, demonstrate significant contributions as a resident, and be entering their 4th year of Residency in July 2021. 

A Foundation of the AAGL designated committee will review all applications and select the winner. If selected, the winner will be required to attend the AAGL’s 50th Annual Congress to accept the award in-person at the General Session AM Monday, November 15, 2021.

Application deadline: 12:00pm PST, Friday, July 16, 2021.

* = Required

1. Please provide your contact information: *This question is required.
2. Please provide contact information of the nominee: *This question is required.
3. Was the nominee chosen as a 2021 Honorary Resident by their CREOG Program Director? *This question is required.Note: If your response is "no" the nominee was not chosen as a 2021 Honorary Resident, then the nominee is not eligible for this award and the remainder of the application will close. 
Is the nominee entering into their 4th year of residency in July 2021?  *This question is required.
Is the nominee a member of the AAGL (Resident Status)? *This question is required.
If you are nominating yourself, please attach a letter of reference.
Please attach the nominee's current curriculum vitae (CV). *This question is required.
If selected, the nominee will be required to attend AAGL’s 50th Annual Congress to accept the award in-person at the General Session AM Monday, November 15, 2021. *This question is required.