AAA Young Investigator Award Nomination Form

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AAA Young Investigator Award
Nomination Form

Deadline: August 15

Monday, March 22, 2010

To nominate an individual for the Young Investigator Award, complete this form and submit it with the supporting materials described below. Only completed nominations received by the deadline will be considered. Please note that neither the nominator nor the nominee for this award need be a current AAA member. All successfully submitted nominations may be considered for three years.

Fields marked with a * are required.

Award	AAA Young Investigator

Please complete the following information about yourself (nominator)
Are you currently a member of AAA?* (not a requirement for nomination)	Yes No
Member ID
First Name *
Middle Initial
Last Name *
Title *
Company/University *
Address 1 *
Address 2
City *
State/Country *	/
Zip/Postal Code *
Phone *
Fax
Email *

Please complete the following information about the nominee
Nominee's First Name *
Nominee's Middle Initial
Nominee's Last Name *
Title *
Company/University
Street Address 1 *
Street Address 2
City *
State/Country *	/
Zip/Postal Code *
Phone *
Fax
Email *
Suggested citation: (approx. 50 words, suitable for printing on award certificate, to describe the key accomplishments for which this nominee should be recognized): *

The following materials must be submitted: Be sure that all necessary information is included.

Detailed letter of recommendation:*
Nominee's curriculum vitae (NIH biosketch format):*


Submit this form with supporting materials by August 15
AAA will then ask the nominee to submit three representative papers by September 15.
Only completed nominations received by these deadlines will be considered.

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