*required fields

Please see the main Prizes page for eligibility information.

Question Title

* 1. Nominee's Membership Number* (your membership needs to be active to nominate). If you are nominating someone else, they will need to be a member of the Society to be awarded the prize. Visit this web page to update your membership.

Question Title

* 2. Name*

Question Title

* 4. Institution

Question Title

* 5. Nominee Info* (Nominee can be an individual, team, project, or organization. Provide the information as appropriate.)

Question Title

* 6. Nominee First Name*

Question Title

* 8. Nominee Institution*

Question Title

* 9. Rationale*
(Word limit: 2000)

Question Title

* 10. Upload Files

T