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Discovery Awards Nomination Form

Discovery Centre is seeking nominations for the 2019 Discovery Awards for Science and Technology.

Nominations are now closed for the 2019 Discovery Awards.

Nomination Categories:

Professional of Distinction – A leader and innovator in their field, a role model for those who pursue science as a career
Science Champion – An individual, organization, or program that promotes science and technology education and STEM careers, and/or makes science better understood by the public
Innovation – An enterprise that has developed a commercially viable product or service, either market-ready or in its early-stages
Emerging Professional – An individual under age 35 who demonstrates research excellence, knowledge sharing, and potential for ongoing growth and development

**Recommendations for the Science Hall of Fame can be emailed to **

Please note: Nominees must be informed of their nomination and understand that further information will be required should they be chosen a finalist. Also, please specify the name of an individual for Emerging Professional, and Professional of Distinction categories; for the Science Champion and Innovation category you may specify an organization/company/laboratory/team/program. The Discovery Awards take place November 21, 2019.

Discovery Awards Nomination Form

Nominee Information

Work Address:
City
State/Province
Zip/Postal
Country
Home Address:
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.
Your Address:
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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