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CAIRIBU Mentorship Award Nomination

CAIRIBU Mentorship Award Nomination

CAIRIBU Mentorship Award Nomination

Each year at the CAIRIBU Annual Meeting, outstanding mentors are recognized for their contributions to mentoring the next generation of non-malignant urologic researchers. Please use this form to nominate a mentor for the 2026 CAIRIBU Mentorship Award.

Name

This field is for validation purposes and should be left unchanged.

Name(Required)

First Middle Last

Institution(Required)

Email(Required)

Enter Email Confirm Email

Trainee Career Stage(Required)

ESI (within 10 years of terminal degree or initial academic appointment)

K scholar

Post-doctoral researcher

Undergraduate student

Post-baccalaureate student

Graduate student

Medical student

Name of PI/Mentor(Required)

Prefix First Last

CAIRIBU Affiliation(Required)

CAIRIBU BPH Research Interest Group

CAIRIBU Interactions Core

CAIRIBU Uro-Aging Research Interest Group

CAIRIBU Urobiome Research Interest Group (U-RIG)

Children’s Hospital of Philadelphia FORWARD P20

Columbia University U54 O’Brien Center

Duke University FORWARD P20

Duke University KURe Program

Endeavor Health System FORWARD P20

Mayo Clinic Rochester FORWARD P20

Prior CAIRIBU O’Brien Urology Center

Prior CAIRIBU P20 Center

UCSF KUroEpi Program

University of Michigan KUroEpi Program

University of Wisconsin–Madison KURe Program

University of Wisconsin–Madison U54 O’Brien Center

UW–Madison Summer Program for Undergraduate Urology Research

Stanford University KUReS Program

Stanford University U54 O’Brien Center

Not affiliated

Other

Other Affiliation

Statement of Recognition(Required)

In 200-300 words, describe why your mentor deserves this recognition.

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Kristina L. Penniston, PhD, RDN, FAND
Department of Urology, UW School of Medicine and Public Health
Highland Avenue, 3258 MFCB
Madison, WI 53705-2281
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