Nominee First Name *

Nominee Last Name *

Nominee Institution (if applicable)

Nominee Email *

Nominee Phone *

Is the nominee aware that they are being nominated for this award? *

Enter required value Yes No

Nominator Name *

Nominator Email *

Nominator Phone *

Nomination Statement *

Please provide a nomination statement of 200-500 words that may inform the citation in the event that the nominee is selected.

Nominee CV *

20MB max

Letter of Nomination *

Please upload a letter of nomination (up to 3 pages in length) explaining why the candidate deserves the award and specifically addressing the award criteria. 

20MB max

Supporting Letter 1

You may upload up to three (3) supporting letters of up to 3 pages each.

20MB max

Supporting Letter 2

You may upload up to three (3) supporting letters of up to 3 pages each.

20MB max

Supporting Letter 3

You may upload up to three (3) supporting letters of up to 3 pages each.

20MB max

Supporting Document 1

Please upload any additional supporting document that demonstrates the nominee's qualification for this award.

20MB max

Supporting Document 2

Please upload any additional supporting document that demonstrates the nominee's qualification for this award.

20MB max

Supporting Document 3

Please upload any additional supporting document that demonstrates the nominee's qualification for this award.

20MB max

Supporting Document 4

Please upload any additional supporting document that demonstrates the nominee's qualification for this award.

20MB max