New Investigator, Young Investigator, Contributor Awards
Incomplete applications may not be considered
Submit By June 30, 2004
Today's Date: ________________
Candidate's Name:
Title of Paper:
Degree:
Date of Degree:
Research or Faculty Advisor:
Are you the first author?:
Will you be presenting the paper?:
For Which Award(s) Would You Like Your Work To Be Consider?
Komor New Investigator ______ Yes
Fluent Young Investigator ______ Yes
(All Papers Will Be Considered For The Fluent Contributor Award)
The following information is needed in the event you are not present for the award
ceremony and the award must be mailed to you.
Your Institution:
Your Institution's Address:
Your Phone Number At This Institution:
Your Institutional Email Address:
Your Home Address:
Your Home Phone Number:
Your Personal Email Address:
Email this information to Prof. Mont Hubbard (mhubbard@ucdavis.edu). Please use the
word "Awards" in the subject line of your email. You will receive an email confirmation
that your request has been processed. If you do NOT receive this acknowledgment
within 7 days please contact Dr. Jani Macari Pallis at 415-681-9619.