ASCLS AWARDS APPLICATION COVERSHEET
To be completed by allaward applicants for the Awards below.
The purpose of this form is to streamline the application process so that the Awards Committee can notify applicants when applications are received. Please attach a completed copy of the coversheet to each separate application submitted and fill out the other necessary forms as noted in the application guidelines. Email completed forms to .
Applicant and co-applicant's NAME as you would like it to appear on the award:
NAME: ______
NAME: ______
Primary Contact:
NAME: ______
ADDRESS:______
PHONE: ______
EMAIL: ______
Award(s) for which the applicant is applying: (Please check all that apply)
Lifetime Achievement / Scientific ResearchNew Professional of the Year / Theriot
Student Forum Leadership / Constituent Society Publication
Gloria F. "Mike" Gilbert / Constituent Society Website
Member Research grant / I. Dean Spradling Graduate Research Grant
If applying for an award other than Publication or Website, please complete the following:
ASCLS MEMBER #: ______
YEAR JOINED ASCLS: ______
If applying for the New Professional of the Year, please complete the following:
YEAR STARTED WORKING IN THE PROFESSION: ______
YOUR SIGNATURE:______
Email to: .**
** If you do not receive confirmation of application receipt within 2 weeks, please contact the Awards Committee for verification, .**
INFORMATION FOR NOMINATIONS
This section has been created in order to standardize the paperwork and forms for those awards for which an individual must be NOMINATED (for example: by a constituent society, constituent society president, other ASCLS member, or Scientific Assembly section).
Nomination forms:
To be completed by the nominators and then emailed/sent to the nominees for completion.
Application forms:
To be completed by the respective applicant. Additional sheets can be used to be emailed/sent to the respective committee chair or awards committee as required. Include the ASCLS Awards Application Coversheet if applicable.
Scientific Assembly Bio-Rad Professional Achievement Award:
Documentation of mechanical inventions, curricula, technical systems, scientific papers, books, photographic developments, manuals, CAI programs or published reviews of educational aids, etc., should be included. In the case of journal articles, textbooks, or textbook chapters, please provide appropriate bibliographic citations. You do not have to provide a photocopy of these items. In the case of curricula, CDs, or other educational materials, please provide a sample either as an attachment or with the packet. Resumes or CVs will not be accepted. Submit completed forms to the SA Coordinator, Ashlee Ketcham, at .
Lifetime Achievement Award:
Return the completed form electronically to the individual in your constituent society responsible for completing and submitting this award application. Resumes or CVs will not be accepted for consideration.
New Professional of the Year:
In addition to the information that is to be provided on the standardized form, please make sure that all of the appropriate information for the NP have been completed. Return the completed form electronically to the individual in your constituent society responsible for completing and submitting this award application. Resumes or CVs will not be accepted.
Student Forum Leadership Award:
Return the completed form electronically to the individual in your constituent society responsible for completing and submitting this award application. Resumes or CVs will not be accepted.
ALL SUBMISSIONS FOR THESE AWARDS MUST BE EMAILED BY FEBRUARY 15