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SID Award Nomination Form

Please note section A-F is required. After the sections are complete, save as PDF to upload online at

This nomination is for the Award: ________________________

Additional Requirements

Peter Brody Award - Date of Birth required (< 40yrs of age).

Fellow Award - SID membership required to be in good standing for not less than 5 years, including at least 3 years of continuous membership immediately prior to election.

Special Recognition Awards - SID Membership not required.

Nominee Information

Nominee Name:

E-mail:

Phone:

SID Membership Grade (not required for Special Recognition Awards):

Date of Birth (Required only for Peter Brody Award):

Nominator’s citation (making a case for this award, 500 word limit)

Nominee CV

• Education and professional history of the nominee [Include college and/or university degrees, positions and responsibilities of relevant professional employment.]

• Supportive material [examples include important patents and publications, other awards and accomplishments]

Endorsements (Minimum 5 required)

Please list the endorsers (SID members) with their letters (500 word limit for each endorsement)

Nominator Information

Name:

Affiliation:

Phone:

E-mail:

SID Membership Grade:

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