2018 Merit Award

Fields marked with * are required.

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Complete the electronic submission form by October 22, 2017.

Nominee Name: *
Institution (i.e. institute, college, university): *
Nominee Email: *
Nominee Phone:
Nominator Name: *
Nominator Institution: *
Nominator Email: *

Nomination Letter (from Nominator) and Supporting Letters : 

The nominator must submit a nomination letter (not to exceed 750 words) that describes sustained and notable contributions over and above that expected by virtue of appointment or relationship to IDEC.The nomination letter and three supporting letters should be uploaded as a single PDF file.

Please upload your Nomination Letter and Supporting Letters. *





Your form submission WILL be encrypted using SSL to ensure your privacy.