Before filling out this nomination form, please carefully review the eligibility and selection criteria for this award.

This nomination form must be completed in a single session (you cannot save your work and come back to it later). It is strongly recommended to read the nomination form entirely before beginning in order to make sure you have all necessary information and documents ready.

Submission deadline: 11:59 PM ET on Friday, January 29, 2021.

Nominee information
Contact person submitting this nomination
Contact person submitting this nomination
Nominator information
Nominator registration information
Nomination Information
Resume

Please attach a copy of the nominee's resume/CV. It should not exceed 5 pages. If it does, only the first 5 pages will be considered.

One file only.
80 MB limit.
Allowed types: pdf, doc, docx.
Letters of support

Please attached two letters of support. Each letter should provide evidence and validation of the contributions described above. They should not exceed two pages for each letter.

One file only.
80 MB limit.
Allowed types: pdf, doc, docx.
One file only.
80 MB limit.
Allowed types: pdf, doc, docx.