2019 YIA Nomination Form

Nominee Information
I'm nominating the following person for the 2019 Young Investigator Award.
Nominee Name*
Full name of the nominee
Nominee Email*

Email address of the nominee
Nominee Institution*
Where does the nominee work?
Nominee Position*
What title does the nominee hold?
Nominee Research Statement*
Provide a summary of the nominee's area of research, awards, etc.
Nominee CV*
Upload the nominee's Curriculum Vitae
Nominee Publication 1*
Bibliographic citation for one of the nominee’s most important peer-reviewed publications
Nominee Publication 2*
Bibliographic citation for one of the nominee’s most important peer-reviewed publications
Nominee Publication 3*
Bibliographic citation for one of the nominee’s most important peer-reviewed publications
Nominee Publication 4*
Bibliographic citation for one of the nominee’s most important peer-reviewed publications
Nominee Publication 5*
Bibliographic citation for one of the nominee’s most important peer-reviewed publications
Primary Referee Information (submitter)
Referee Name*
Your Name
Referee Email*

Your email address
Referee Institution*
The institution or company you work for
Referee Position*
The title you hold at your institution
Referee Nomination Statement*
Upload a letter of support for the nominee
Second Referee Information
Second Referee Name*
The name of the second referee
Second Referee Email*

Email address of the second referee
Second Referee Institution*
Institution or company of second referee
Second Referee Position*
Position or title of the second referee
Second Referee Nomination Statement*
Upload a letter of support for the nominee