Directions

Thank you for helping us identify other mid-level researchers in Alzheimer's disease whom you feel would benefit from participating in CCAD 2020. Please nominate two (2) individuals who meet the following criteria:

-      Have obtained a Ph.D. and/or MD within the last 12 years from the date, the conference is to be held

-     Hold a Post Doc, Fellowship, or Faculty position no higher than Assistant Professor at an institution based in the United States

-     NOT have been or currently be a Principal Investigator (PI) on any NIH-funded R01, Program Project or Center grant by the date the conference is to be held.

Please provide us first with your full name and email. Then you can submit the names of your chosen nominees.  If you would like to nominate more than two people,  just re-submit a new form with the additional nominee names. 

Question Title

* 1. Nominator Full Name (First and Last)

Question Title

* 2. Nominator Email

Question Title

* 3. Nominee #1 Full Name (First and Last)

Question Title

* 4. Nominee #1 University/Institution

Question Title

* 5. Nominee #1 Email Address

Question Title

* 6. Nominee #2 Full Name (First and Last)

Question Title

* 7. Nominee #2 University/Institution

Question Title

* 8. Nominee #2 Email Address

T