Jolesz Award Nomination Form

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* 1. Name of Individual being nominated:

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* 2. Organization the nominee belongs to:

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* 3. Nominee's contact information (email and/or phone number):

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* 4. Eligibility Criteria

This award is open to all individuals who meet the following eligibility criteria
  1. Applicants must be active in focused ultrasound therapy research as an established doctorate or physician with at least 10 years of experience in his/her specialty and made his/her greatest contribution to focused ultrasound in the last two (2) years. 
  2. Applicants must be conducting translational or clinical research in the field of focused ultrasound therapy. 
  3. Nominations must be submitted via this online nomination system.

Statements of Recommendation

Please answer the following questions to support your nomination of this individual

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* 5. Please describe how this candidate meets the basic eligibility requirements for this award

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* 6. What are some of the candidates key accomplishments in the field of focused ultrasound therapy to date?

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* 7. Please describe the candidates relevant scientific attributes (e.g. intellectual curiosity, drive, critical thinking, problem solving).

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* 8. Please describe the candidate's potential for future success as a pioneer/innovator in the field of focused ultrasound therapy.

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