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* 1. Name:

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* 2. Address 1:

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* 3. Address 2:

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* 4. City:

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* 5. State/Province:

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* 6. Country:

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* 7. Email:

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* 8. Enter the title of the artwork:

The animation video will be accepted via a YouTube link only. You will provide a link to your uploaded YouTube video. The video must be no more than 30 seconds in length.

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* 9. Enter Digital Model/Animation YouTube Link:

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* 10. Upload Still Image of the Digital Model/Animation

JPG, JPEG file types only.
Choose File

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* 11. List the name of the research paper where this visualization was published.

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* 12. Title of the second artwork (optional):

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* 13. Second YouTube Link (optional):

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* 14. If second YouTube link is provided, upload still image of the model/animation:

JPG, JPEG file types only.
Choose File

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* 15. If second YouTube link is provided, list the name of the research paper where this second visualization was published:

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* 16. Please upload a photo of yourself.

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

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* 17. Please upload 300-500 word short bio. (This is for SVP website; only used if applicant receives award)

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

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* 18. Required Acknowledgement

I (or my nominee) have (has) never been found guilty by my employer, my legal system, organizations that I volunteer for, institutions where I have conducted research, or other professional societies of any activity that violates the Society’s Meetings Code of Conduct. If I have incorrectly represented myself (or my nominee) or are found guilty in the future by one of the previously listed entities or SVP, my (nominee’s) award may be revoked at the discretion of the Executive Committee.

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