FRIB Achievement Award for Early Career Researchers: Nomination Form
This form, and the open call for nominations, will close 7th June 2021, 8pm Eastern Daylight Time.
Email *
Your name (nominator) *
Your affiliation *
Your email address *
Please enter the email address that you will use to submit the nomination files; this will ensure that the nomination package can be matched. This can be a different address to the form submission address used above.
Nominee's name *
Nominee's current affiliation *
Nominee's email address *
Nominee's PhD award date *
If nominee has not yet graduated, please enter tentative PhD completion date. If the exact day is not known, enter the date as the first of the month that the PhD was awarded.
Has the nominee experienced an interruption in their career which needs to be considered to maintain their eligibility?
Clear selection
If yes, please explain:
Award category *
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy