EFPA 2025 AWARDS: NOMINATIONS

Please submit the nomination form by the closing date of February 28, 2025 - 09:00 am CET

Award requirements, nomination procedures can be found on EFPA's website:

https://www.efpa.eu/activities/awards

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* Award for which nomination is being made:

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* Name of person making the nomination:

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* Role of person making the nomination:

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* Contact e-mail address of person making the nomination:

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* Full Member, Associate Member (or exceptionally other organisation) name:

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* Country:

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* Name of the nominee:

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* Work institution of nominee:

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* Nationality of nominee:

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* Date of birth of nominee:

Birth date

Date

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* Email address of nominee:

Please submit the documents requested at each submission point below.
Please note:

Supporting documents should be in pdf format and any picture or logo should be in jpg format
If documents are over length they will be returned and the additional content will not be reviewed by the Awarding Committee

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* 1. A statement (not to exceed 1,000 words) from the Member (or other nominating institution) addressing how the nominee has met the criteria for the award, signed by the President, CEO or other appointed officer:

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

2. Supporting documentation which may include (Note: it is not obligatory to upload a document for each type of documentation mentioned):

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* (a) Curriculum Vitae not exceeding 4 pages in length

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* (b) Letter of recommendation #1

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* (c) Letter of recommendation #2

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* (d) List of publications and presentations at national, European and international conferences

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* Please tick to confirm the following statements:

In making this nomination I confirm I have no conflict of interest (e.g., close personal relationship). If there is found to be a conflict of interest that has not been declared, I understand the nomination will be set aside.

“By submitting the following nomination, you acknowledge that the nominee(s) is/are duly informed of the fact that his/her/their personal data will be shared with EFPA and that where appropriate consent has been obtained from the nominee(s) to share his/her/their personal data with EFPA for the purposes of the nomination. In case you fail to provide the required information to and obtain the required consents from the nominee(s), this will be entirely at your own risk. In case of any claims from the nominee(s) or any other third parties or in case of any other damages resulting from such transfer of the personal data, EFPA cannot be held liable in any way by you nor by your organisation. In case of any indications of the aforementioned irregularities, EFPA reserves the right to require you to provide additional guarantees, and/or to disqualify and remove the impacted nomination(s).”

For more information about how we process your personal data, we kindly refer you to our privacy policy that can be found here: https://www.efpa.eu/privacy-policy