Discovery Awards Nomination Form

Please note: Nominee must be informed about this nomination and understand that further information is required should they be a finalist. Also, please specify the name of one individual for Emerging Professional, Science Champion, and Professional of Distinction categories; the Innovation category may specify an Organization/Company/Laboratory/Team name. The Discovery Awards take place in late November.

Discovery Awards Nomination Form

Nominee Information

City
State/Province
Zip/Postal
Country
(Only Emerging Professional Award)

Nominator Information

Please provide us with your information so that if we have any additional questions, we may contact you. Thank you.
City
State/Province
Zip/Postal
Country

Question 1:

(200 word limit)

Question 2:

(200 word limit)

Question 3:

(200 word limit)

Question 4:

(200 word limit)

Question 5:

(200 word limit)

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