NAOME logoNational Academy of Osteopathic Medical Educators Self-Nomination Form 

The application cycle for 2019 is now open. Nominations submitted before February 1, 2019 will be considered for the 2019 application cycle.

The following documents are required for this application:

  • NAOME Reference Check
  • Personal Attestation Statement and Portfolio with supporting documents in your elected area of Teaching and Learning, e.g., Teaching/Evaluation, Development of Enduring Educational Materials, Educational Leadership, and/or Educational Research
  • CV

Note: You are encouraged to work with a NAOME Fellow mentor early in this application process.


Required fields are identified by *
Note: If applicant is a dean, use name and email for appropriate college official that does not report to the applicant.
I am submitting my portfolio to represent scholarship in teaching and learning in the following area*

Upload NAOME Reference Statement*
Upload as a SINGLE file: ZIP, PDF, or MS Word

Upload CV*
Upload as a SINGLE file: ZIP, PDF, or MS Word.

Upload Personal Attestation Statement, Portfolio and Appendices*
Not to exceed 25 pages. <br />Upload as a SINGLE file: ZIP, PDF, or MS Word.