NOMINATEE INFORMATION

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* 1. First Name/Given Name of Institutional Contact:

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* 2. Last Name/Surname/Family Name of Institutional Contact:

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* 3. Institution:

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* 4. Address 1:

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* 5. Address 2:

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* 6. City:

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* 7. State/Province:

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* 8. Zip/Postal Code:

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* 9. Country:

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* 10. Phone of Contact at Institution:

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* 11. Email of Contact at Institution:

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* 12. Website of Institution (if available)

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* 13. Is this nominee's institution established in an economically-disadvantage nation, as defined by a ranking of <0.75 on the UN Development Index?

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* 14. Optional: Please provide the phonetic spelling of the nominee's full name and/or the name of the nominated institution.

NOMINATOR INFORMATION

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* 15. Prefix:

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* 16. First Name/Given Name:

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* 17. Last Name/Surname/Family Name:

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* 18. Work Phone:

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* 19. Email:

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* 20. Required Acknowledgement

You can view the SVP Code of Ethics by clicking here

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* 21. 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.
DOCUMENT AND FILE UPLOAD

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* 22. Please upload a description of the Institution's scientific role:

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
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* 23. Please upload a description of the Institution's activities:

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
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* 24. Please upload a photo of the nominated institution. 

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
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* 25. Please upload a 300-500 word blurb about the nominated institution (including information about vertebrate paleontology at the institution) for the SVP website, should your nominee win the award:

PDF, DOC, DOCX file types only.
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