2021 YIA Nomination Form

  • Nominee Information

    I'm nominating the following person for the 2021 Young Investigator Award.
  • Full name of the nominee
  • Email address of the nominee
  • Where does the nominee work?
  • What title does the nominee hold?
  • Provide a summary of the nominee's area of research, awards, etc.
  • Upload the nominee's Curriculum Vitae
  • Bibliographic citation for one of the nominee’s most important peer-reviewed publications
  • Bibliographic citation for one of the nominee’s most important peer-reviewed publications
  • Bibliographic citation for one of the nominee’s most important peer-reviewed publications
  • Bibliographic citation for one of the nominee’s most important peer-reviewed publications
  • Bibliographic citation for one of the nominee’s most important peer-reviewed publications

  • Primary Referee Information (submitter)

  • Your Name
  • Your email address
  • The institution or company you work for
  • The title you hold at your institution
  • Upload a letter of support for the nominee

  • Second Referee Information

  • The name of the second referee
  • Email address of the second referee
  • Institution or company of second referee
  • Position or title of the second referee
  • Upload a letter of support for the nominee
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MARCH 13–16 • 2021

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