2022 EERI Awards and Honors Nomination Form
Please use the following form to nominate an individual for the following EERI Awards and Honors.

George W. Housner Medal
Alfred E. Alquist Special Recognition Medal
Distinguished Lecture Award
Honorary Membership

Deadline:
Nominations are due June 6, 2021 at 11:59 pm Pacific Time.

If you wish to read more about each award's criteria please visit our website: https://www.eeri.org/about-eeri/honors-awards/.

If you have any questions about this form please email silvana@eeri.org.

If you are looking to apply for the EERI Younger Member Award, click here: https://forms.gle/K6QdmKxEv5bVWfBE8.
Email *
NOMINEE INFORMATION
Below, please select the EERI award or honor you wish to nominate someone for and enter the individuals information. If you wish to submit a document, such as a letter, please email it to silvane@eeri.org.
Please select the EERI Award or Honor you wish to submit a nomination for. *
If you wish to submit multiple nominations, please fill out the form for each individual separately.
Nominee's Full Name *
Nominee's Affiliation *
Organization, Company, University, etc.
Nominee's Email
Brief Justification *
Please explain why you think this individual is deserving of this award. If you wish to submit a document (e.g. letter), please complete this form, then email your document to silvana@eeri.org.
YOUR INFORMATION
Below, please fill in your contact information. If we have any further questions regarding your nomination we may contact you using the information you provide.
Nominator's Full Name *
Nominator's Affiliation *
Organization, Company, University, etc.
Nominator's Email *
A copy of your responses will be emailed to the address you provided.
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