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ASRS Presidents' Young Investigator Award nomination form
Your information
Your name
*
Your email
*
Nominee
Nominee must be an ASRS member age 45 or younger.
Nominee name
*
Type the first few letters of the member's name.
Statement of nomination
*
Briefly explain how the individual has distinguished himself or herself for this award.
I attest that the nominee is age 45 or younger
Co-author(s)
Co-author(s) will be contacted via email to acknowledge nominee is primary investigator.
+ Add a co-author
Paper
Title of paper
*
Name of clinical research trial/study
*
Journal/publication
*
Paper publication date must be between January 01, 2018 and December 31, 2018
Publish date
*
mm/dd/yyyy
Documentation
PDF format only. 10 MB maximum file size.
Nominee's curriculum vitae
*
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Paper
*
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