<p> RCOG AWARDS FOR EXCELLENCE IN TRAINERS</p><p>TRAINER AWARD – NOMINATION FORM</p><p>Name of nominating RCOG trainee representative (must be a RCOG regional trainee representative):</p><p>Email address of nominating RCOG trainee representative:</p><p>Nominating region/ LETB:</p><p>Name of nominated trainer:</p><p>Email address of nominated trainer:</p><p>Postal address of nominated trainer:</p><p>Job title of nominee (e.g. consultant, sonographer etc.):</p><p>Formal training roles held by nominee (e.g. head of school, training programme director, college tutor etc.):</p><p>Statement of nomination (600 words):</p><p>Please outline how the nominee has contributed to the training of obstetrics and gynaecology trainees above and beyond that required by any a formal role the trainer holds (e.g. head of school, training programme director, college tutor etc.). </p><p>Please give examples of how the nominee has enhanced training.</p><p>Where possible please do not use identifiable text such as the names of trainers, trainees, LETBs, trusts or hospitals etc. in the nomination.</p>