Early Career Researcher

SPECIAL ACHIEVEMENT AWARD

NOMINATION FORM

NAME OF NOMINEE
As it should appear in any publicity
CONTACT DETAILS OF NOMINEE
Organisation…
Job title…
Email…
Telephone…
PERSONAL STATEMENT
As of 1st September 2017
Time working in the research sector: …. Years
Professional qualifications held:
SUBMISSION STATEMENT
Please state here, in no more than 500 words, why this nominee should win this award
SUPPORTING STATEMENTS
Please give two statements (maximum 100 words) from colleagues/clients supporting your case. Please attribute the statements to their authors
Statement 1
Statement 2
SUPPORTING MATERIAL
If you have included supporting material, please state here what it is
Please send this form, along with a photograph and supporting material to: with “Special Achievement Award Entry” in the subject line.
This form constitutes your award application.Entries must be received by 25th September 2017.

EARLY CAREER RESEARCHER

OF THE YEAR

(UNDER 5 YEARS OF RESEARCH EXPERIENCE)

NOMINATION FORM

NAME OF NOMINEE
As it should appear in any publicity
CONTACT DETAILS OF NOMINEE
Organisation…
Job title…
Email…
Telephone…
PERSONAL STATEMENT
As of 1st September 2017
Time working in the research sector: …. Years
Professional qualifications held:
SUBMISSION STATEMENT
Please state here, in no more than 500 words, why this nominee should win this award
SUPPORTING STATEMENTS
Please give two statements (maximum 100 words) from colleagues/clients supporting your case. Please attribute the statements to their authors
Statement 1
Statement 2
SUPPORTING MATERIAL
If you have included supporting material, please state here what it is
Please send this form, along with a photograph and supporting material to: with “Special Achievement Award Entry” in the subject line.
This form constitutes your award application.Entries must be received by 25th September 2017.

RESEARCH IMPACT AWARD

NOMINATION FORM

NAME OF NOMINEE
As it should appear in any publicity
CONTACT DETAILS OF NOMINEE
Organisation…
Job title…
Email…
Telephone…
PERSONAL STATEMENT
As of 1st September 2017
Time working in the research sector: …. Years
Professional qualifications held:
SUBMISSION STATEMENT
Please state here, in no more than 500 words, why this nominee should win this award
SUPPORTING STATEMENTS
Please give two statements (maximum 100 words) from colleagues/clients supporting your case. Please attribute the statements to their authors
Statement 1
Statement 2
SUPPORTING MATERIAL
If you have included supporting material, please state here what it is
Please send this form, along with a photograph and supporting material to: with “Special Achievement Award Entry” in the subject line.
This form constitutes your award application.Entries must be received by 25th September 2017.

RESEARCH INNOVATION AWARD

NOMINATION FORM

NAME OF NOMINEE
As it should appear in any publicity
CONTACT DETAILS OF NOMINEE
Organisation…
Job title…
Email…
Telephone…
PERSONAL STATEMENT
As of 1st September 2017
Time working in the research sector: …. Years
Professional qualifications held:
SUBMISSION STATEMENT
Please state here, in no more than 500 words, why this nominee should win this award
SUPPORTING STATEMENTS
Please give two statements (maximum 100 words) from colleagues/clients supporting your case. Please attribute the statements to their authors
Statement 1
Statement 2
SUPPORTING MATERIAL
If you have included supporting material, please state here what it is
Please send this form, along with a photograph and supporting material to: with “Special Achievement Award Entry” in the subject line.
This form constitutes your award application.Entries must be received by 25th September 2017.