PTF Award Initial Nomination

For handling PTF Award nominations

2017 AWARD NOMINATION FORM

Nomination deadline April 30, 2017
Name of the PTF Award *
Full Name of the Nominator *
Nominee's Full Name *
Proposed Citation (not more than 300 characters of carefully edited sentence that reflects specific achievements) *
Nominator's E-mail Address *
Nominator must be current PTF member. Is nominator a current PTF member? *

Yes No
Is nominee a PTF member for past 3 calendar years (or a current member for the Best Ph.D. award)? *

Yes No
Name and affiliation of the supporting letter provider (at least three names required) *
Name and affiliation of supporting letter provider *
Name and affiliation of supporting letter provider *
Name and affiliation of supporting letter provider
Name and affiliation of supporting letter provider
Is at least one of the letter provider a current PTF member? *

Yes No
Has the nominee won a PTF award in past three calendar years? *

Yes No
All required fields (*) must be filled out.
Should be Empty: