Award Nomination Form

This is the nomination form for The Tze Leung Lai Memorial Lecture Award (LMLA) and The Joseph F. Heyse Memorial Lecture Award (HMLA). Please fill out all required information and click the Submit Nomination button at the end of the form. If your submission is successful, a message will be shown on the screen and a confirmation email will be sent to the nominator’s email address.

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For which award your nomination is *

• The Tze Leung Lai Memorial Lecture Award (LMLA)
• The Joseph F. Heyse Memorial Lecture Award (HMLA)

Select the award for this nomination.

Nominator's Name *

First

Last

Nominator's Email Address *

Email

Confirm Email

Nominator's Title *

Nominator's Affiliation *

Nominator's Short Biography *

Award Candidate's Name *

First

Last

Award Candidate's Email Address *

Email

Confirm Email

Award Candidate's Title

Award Candidate's Affiliation *

Nominator's nomination award

Award Candidate's Short Biography *

Cover Letter *

Award Candidate's CV *

Click or drag a file to this area to upload.

Award Candidate's Headshot *

Click or drag a file to this area to upload.

Letters of Support *

Click or drag a file to this area to upload.

This field accepts multiple files.

Custom Captcha *

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Submit Nomination