Directions

Thank you for helping us identify other mid-level researchers in Alzheimer's disease whom you feel would benefit from participating in CCAD 2022. Please nominate individuals who meet the following criteria:

- Have a PhD and/or MD and have received this degree within the last ten years.
- Hold an academic rank at a US university or institution no higher than Assistant Professor.
- NOT be the PI on any past or current NIH-funded R01, Program Project, or Center Award grants.
- Have demonstrated a commitment to a career in advancing AD-related research, as evidenced by prior training and research productivity.

Please provide the Name, Email, and University/Institution for each nominee. You can submit this form multiple times if you'd like to add different nominees.

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* 1. Nominator Name

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* 2. Nominee #1 First Name

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* 3. Nominee #1 Last Name

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* 4. Nominee #1 University/Institution

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* 5. Nominee #1 Email Address

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* 6. Nominee #2 First Name

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* 7. Nominee #2 Last Name

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* 8. Nominee #2 Institution/University

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* 9. Nominee #2 Email Address

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