International Metabolic Engineering Award
NOMINATION FORM
1. Candidate:
2. Current position and affiliation (include address, email, telephone and fax number):
3. Date and place of birth:
4. Education (list degrees earned, major fields, institution, and dates):
5. Record of professional experience (list principal positions held and responsibilities including dates):
6. Principle professional society membership (grades) and activities (boards, committees, important offices held and contributions to society):
7. Contributions of record - Publications, Patents, and other (list 5 most significant contributions):
8. Honors and Awards:
9. Proposed citation (up to 30 carefully edited words reflecting the specific contribution):
10. Nominated by: _________________________________
(type name and sign on line below)
_________________________________ ___________________ __________ Signature Telephone No. Date
Submit the nomination package (completed nomination form, the nominee’s CV, and 3 supporting letters) as one merged pdf file before March 15, 2014 to:
Jens Nielsen
Department of Chemical and Biological Engineering
Chalmers
Kemivägen 10
SE 412 96 Gothenburg, Sweden
Tel: +46 31 772 38 04; Fax: +46 31 772 38 01
e-mail: