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Nomination Form Instructions

Deadline for receipt of nominations: November 30, 2011

In order to fill out the nomination form you will need the information listed below:

Nominee's details
  • Title, First Name, Middle Name, Last Name
  • Position of Nominee
  • Work Phone Number, Home or Mobile Phone Number
  • Fax, Email
  • Postal Address of Nominee
  • Name of Nominee's Institution of Affiliation and Department
  • Postal Address of Institution of Affiliation
  • Summary of Nominee’s achievements meriting the Prize

 

Attachments
  • A detailed description of the nominee’s work (1-2 pages), stipulating reasons why the nominee merits the Dan David Prize. Please refer to the importance of the work, its impact, and its projected influence in the relevant field (allowed: doc|rtf|docx|pdf / max:5mb)
  • A full Curriculum Vitae of the nominee, or a detailed prospectus in case of an organization nominee (allowed: doc|rtf|docx|pdf / max:5mb)
  • A list of the nominee’s publications of the last 15 years (allowed: doc|rtf|docx|pdf / max:5mb)
  • A list of the nominee’s most relevant publications or projects (allowed: doc|rtf|docx|pdf / max:5mb)
  • Others
  • A photo of the nominee in electronic format, to be used by the Dan David Prize in case of need (300 dpi, copyright free, high-definition - allowed: jpg or tif / max:5mb)

Nominator's details
  • Title, First Name, Middle Name, Last Name
  • Position of Nominator
  • Work Phone Number, Home or Mobile Phone Number
  • Fax, Email
  • Postal Address of Nominator
  • Name of Nominator's Institution of Affiliation and Department

Joint Nominations
  • Please fill in two separate forms, attaching the relevant documents for each nominee.
  • The 'Last Name' and ‘First Name’ fields should be filled in as follows:
  • Form 1: In the 'Last Name' field, type 'Joint Nomination Name A/Name B – Name A’ (and all the details and attachments pertaining to A).
    In ‘First Name’ field type the first name of A.
  • Form 2: In the 'Last Name' field, type 'Joint Nomination Name A/Name B – Name B’ (and all the details and attachments pertaining to B).
    In ‘First Name’ field type the first name of B.

 

Confirmation of successful submission will be provided.
A copy of the nomination material will be sent to the nominator by email.

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