Medal for Outstanding Contributions To

Medal for Outstanding Contributions to

Animal Welfare Science

Nomination Form

Name of nominated candidate:
Name of nominator:

Medal for Outstanding Contributions to Animal Welfare Science

Background

The UFAW Medal for Outstanding Contributions to Animal Welfare Science is a prize award to recognise the exceptional achievements of an individual scientist who has made fundamental contributions to the advancement of animal welfare over a number of years. The award is open to individuals whose research, teaching, service and advocacy has had international impact and significantly benefited the welfare of animals. Nominated candidates may be based in the United Kingdom or elsewhere.

The winner of this award will receive a £3000 cheque, a commemorative medal and a framed award certificate.

Nomination procedure

Nominations may be made on behalf of another individual or a candidate may nominate themself. Nominees must be aware that they are being nominated for the award. Organisations or institutions are not eligible to apply.

Nominations must be made on the attached nomination form. Additionally, two letters from well-established scientists in the field and in support of the nominated candidate should be included and the names of those providing these letters given in the nomination form. Please also include, if possible,a copy of the nominated candidate’s curriculum vitae,or short biography, and a list of publications. Please highlight up to three publications that you think best illustrate the quality of the nominee’s work.

One printed, signed copy of the nomination form, two letters of support, nominee’s CV (or short biography) and a list of publications, should be posted to UFAW at the following address:

Wendy Goodwin

UFAW

The Old School

Brewhouse Hill

Wheathampstead

Hertfordshire

AL4 8AN, UK

Additionally, an electronic copy of the nomination form, two letters of support, nominee’s CV (or short biography) and list of publications should also be sent as an email attachment to Wendy Goodwin:.

Closing date

Please note that all nominations for the UFAW Medal for Outstanding Contributions to Animal Welfare Scienceaward must reach the UFAW office by the 11thDecember2015.

Nominations will be judged by a UFAW Panel following the closing date and the winning candidate will be notified and announced during 2015. Please note that unsuccessful candidates will not be contacted.

Further information

If further information is required please contact Wendy Goodwin at UFAW directly via email: , or telephone: +44 (0) 1582 831818.

Nomination Form

1.1Nominee details

Please complete the following details for the nominated candidate.

Full name: / Title: (eg Dr, Prof., Ms)
Current position:
Contact address:
Email:
Telephone:

1.2Nominator details

Please complete the following details if you are nominating a candidate (if self-nominating, leave blank).

Full name: / Title: (eg Dr, Prof., Ms)
Current position:
Address:
Email:
Telephone:
Link with nominated candidate:

1.3Nominator signature

Signed: / Date:

2.Summary statement

Please provide a concise description of why the nominated candidate should be considered for this award. The summary must be confined to the space available below.

3.1Letters of support

Two letters of support for the nominated candidate should be included when submitting this nomination form. Please give the name and contact details of the two people who have provided a letter of support below.

Full name: / Title: (eg Dr, Prof., Ms)
Current position:
Contact address:
Email:
Telephone:
Full name: / Title: (eg Dr, Prof., Ms)
Current position:
Contact address:
Email:
Telephone:

3.2CV (or short biography) and publications list

Please provide, if possible, a copy of the nominated candidate’sCV,or short biography, together with a list of publications. Please highlight up to three publications that you think best illustrate the quality of the nominee’s work.

Please ensure that oneprinted, signed hard-copyand one electronic version of the nomination form and associated documents (see checklist below) reaches UFAW no later than 11th December 2015.

Checklist:

Completed nomination form

Two letters in support of the nominated candidate

CV or short biography of nominated candidate

Publications list of nominated candidate

UFAW Medal

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