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DOWNLOAD Nomination Form Here - Distinguish contribution _250910_

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DOWNLOAD Nomination Form Here - Distinguish contribution _250910_ Powered By Docstoc
					                                                                Nomination	
  form	
  
______________________________________________________________________________	
  
Award	
  for	
  a	
  Distinguished	
  Contribution	
  in	
  Proteomics	
  
	
  
The	
  CNPN	
  established	
  this	
  Award	
  in	
  2009	
  to	
  recognize	
  a	
  Canadian	
  researcher	
  who	
  made	
  
outstanding	
  contributions	
  to	
  the	
  field	
  of	
  proteomics.	
  This	
  award	
  recognizes	
  singular	
  or	
  life	
  time	
  
achievement	
  that	
  has	
  had	
  a	
  significant	
  impact	
  on	
  the	
  fundamental	
  understanding	
  and/or	
  
practice	
  of	
  proteomics	
  in	
  biological	
  sciences.	
  Nomination	
  is	
  not	
  restricted	
  to	
  members	
  of	
  the	
  
CNPN.	
  The	
  award	
  is	
  announced	
  at	
  the	
  CNPN	
  Annual	
  meeting.	
  The	
  recipient	
  of	
  the	
  Distinguished	
  
Contribution	
  in	
  Proteomics	
  will	
  give	
  a	
  50-­‐minute	
  lecture,	
  will	
  receive	
  a	
  commemorative	
  plaque,	
  
and	
  receive	
  support	
  for	
  the	
  winner	
  and	
  a	
  guest	
  to	
  attend	
  the	
  CNPN	
  Annual	
  Meeting.	
  
	
  
Eligibility	
  criteria	
  
• Nomination	
  is	
  not	
  restricted	
  to	
  members	
  of	
  the	
  CNPN	
  and	
  includes	
  researchers	
  affiliated	
  to	
  
       public	
  or	
  private	
  sector	
  research	
  institutions.	
  
• The	
  Award	
  is	
  typically	
  presented	
  to	
  an	
  individual	
  investigator.	
  Two	
  or	
  more	
  individuals	
  may	
  
       be	
  selected	
  to	
  share	
  the	
  Award	
  when	
  their	
  investigations	
  are	
  closely	
  related	
  and	
  have	
  
       contributed	
  to	
  significant	
  advances	
  in	
  proteomics	
  research.	
  	
  
• Institutions	
  or	
  organizations	
  are	
  not	
  eligible	
  for	
  the	
  Award.	
  
	
  
Nomination	
  Process	
  
A	
  single	
  pdf	
  file	
  (or	
  MS	
  word	
  document)	
  containing	
  the	
  nomination	
  package	
  must	
  be	
  provided	
  
electronically	
  to	
  awards@cnpn.ca	
  by	
  February	
  1,	
  2011	
  at	
  12:00pm,	
  Eastern	
  Time.	
  	
  A	
  
confirmation	
  of	
  receipt	
  will	
  be	
  provided	
  by	
  E-­‐mail	
  from	
  the	
  CNPN	
  within	
  two	
  business	
  days.	
  A	
  
panel	
  of	
  five	
  researchers	
  will	
  evaluate	
  the	
  nominations	
  and	
  select	
  the	
  recipient.	
  
	
  
The	
  nomination	
  package	
  contains	
  the	
  following	
  information:	
  
       • The	
  nomination	
  form.	
  
       • A	
  summary	
  statement	
  of	
  the	
  achievement	
  (50	
  words)	
  that	
  could	
  be	
  used	
  during	
  the	
  
              award	
  ceremony.	
  
       • A	
  short	
  description	
  of	
  the	
  candidate’s	
  outstanding	
  contribution	
  and	
  an	
  indication	
  of	
  its	
  
              impact	
  (600	
  words,	
  1	
  page).	
  If	
  two	
  or	
  more	
  candidates	
  are	
  proposed	
  to	
  share	
  the	
  Award,	
  
              the	
  description	
  should	
  explain	
  how	
  the	
  combined	
  contribution	
  is	
  worthy	
  of	
  the	
  Award.	
  
       • A	
  curriculum	
  vitae	
  of	
  the	
  nominee	
  including	
  a	
  complete	
  list	
  of	
  the	
  candidate's	
  
              publications	
  outlining	
  those	
  associated	
  with	
  the	
  achievement.	
  A	
  curriculum	
  vitae	
  and	
  full	
  
              publication	
  history	
  for	
  all	
  candidates	
  must	
  be	
  submitted	
  for	
  combined	
  contribution.	
  	
  	
  
	
  
There	
  is	
  no	
  restriction	
  on	
  the	
  number	
  of	
  candidates	
  proposed	
  by	
  any	
  nominator	
  or	
  on	
  the	
  
number	
  of	
  scientists	
  writing	
  nomination	
  on	
  behalf	
  of	
  a	
  candidate.	
  	
  
	
  
                                                                       Nomination	
  form	
  
       ______________________________________________________________________________	
  
Award	
  for	
  a	
  Distinguished	
  Contribution	
  in	
  Proteomics	
  	
  
	
  
The	
  CNPN	
  established	
  this	
  Award	
  in	
  2010	
  to	
  recognize	
  a	
  Canadian	
  researcher	
  who	
  made	
  outstanding	
  contributions	
  
to	
  the	
  field	
  of	
  proteomics.	
  This	
  award	
  recognizes	
  singular	
  or	
  life	
  time	
  achievement	
  that	
  has	
  had	
  a	
  significant	
  impact	
  
on	
  the	
  fundamental	
  understanding	
  and/or	
  practice	
  of	
  proteomics	
  in	
  biological	
  sciences.	
  Nomination	
  is	
  not	
  
restricted	
  to	
  members	
  of	
  the	
  CNPN.	
  The	
  award	
  is	
  announced	
  at	
  the	
  CNPN	
  Annual	
  meeting.	
  The	
  recipient	
  of	
  
the	
  Distinguished	
  Contribution	
  in	
  Proteomics	
  will	
  give	
  a	
  50-­‐minute	
  lecture,	
  will	
  receive	
  a	
  commemorative	
  plaque,	
  
and	
  receive	
  support	
  for	
  the	
  winner	
  and	
  a	
  guest	
  to	
  attend	
  the	
  CNPN	
  Annual	
  Meeting.	
  
	
  
Name	
  of	
  Nominee:	
                                                                                           _________________________	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  _________	
  	
  	
  	
  	
  	
  	
  	
  	
  ___________________________	
  
                                                                                                                          	
  	
  	
  	
  First	
   	
   	
                   	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  Initial	
        	
              	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  Last	
  
	
  
	
  
Address:	
  	
  	
  	
  ____________________________________________________________________________________	
  
                                                          Affiliation	
  
	
  
	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  ____________________________________________________________________________________	
  
                                                                                                                Mailing	
  Address	
  
                                                                                                                          	
  
	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  ____________________________________________________________________________________	
  
                                                                                                           City/Province/Postal	
  code	
  
                                                                                                                          	
  
 ___________________________________________________________________	
  
                                                                                                                                                                                                                                                                        	
  
	
  
Nominator’s	
  name:	
  	
  	
  	
  	
  	
  ___________________________	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  _________	
  	
  	
  	
  	
  	
  	
  	
  	
  ______________________________	
  
                                                                                                                                               	
  	
  	
  	
  First	
   	
                                                             	
                                         	
  	
  	
  	
  	
  Initial	
  	
                                                             	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  Last	
  
	
  
Address:	
  	
  	
  	
  ____________________________________________________________________________________	
  
                                                                                                                                                                                                                                    Affiliation	
  
	
  
	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  ____________________________________________________________________________________	
  
                                                                                                                                                                                                                                 Mailing	
  Address	
  
                                                                                                                                                                                                                                                                        	
  
	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  ____________________________________________________________________________________	
  
                                                                                                                                                                                                                   City/Province/Postal	
  code	
  
	
  
_____________________________	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  _____________________________	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  ________________________	
  
                                                                Telephone	
  	
              	
                                                	
                                                              	
                       	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  Fax	
  	
                        	
                                                              	
                                                              	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  E-­‐mail	
  
	
  
	
  
Supporting	
  letters	
  will	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  _______________________________	
  	
  	
  	
  	
  	
  	
  __________________________________	
  
be	
  provided	
  by	
  the	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  Name	
  	
                                          	
                            	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  E-­‐mail	
  	
  
following	
  three	
  individuals:	
  	
  	
  	
  _______________________________	
  	
  	
  	
  	
  	
  	
  __________________________________	
  
	
                                                              	
                   	
      	
                                                	
                                                              	
  	
  	
  	
  Name	
  	
                                          	
                            	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  E-­‐mail	
  	
  
	
                                                              	
                   	
      	
  	
  	
  	
  	
  	
  _______________________________	
  	
  	
  	
  	
  	
  	
  __________________________________	
  
	
                                                              	
                   	
      	
                                                	
                                                              	
  	
  	
  	
  Name	
  	
                                          	
                            	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  E-­‐mail	
  	
  
	
  
Please	
  enclose	
  the	
  following:	
  
                                • A	
  summary	
  statement	
  of	
  the	
  achievement	
  (50	
  words).	
  
                                • A	
  short	
  description	
  of	
  the	
  candidate’s	
  outstanding	
  contribution	
  (600	
  words,	
  1	
  page).	
  	
  
                                • A	
  curriculum	
  vitae	
  of	
  the	
  nominee	
  including	
  a	
  complete	
  list	
  of	
  the	
  candidate's	
  publications	
  outlining	
  those	
  
                                                                associated	
  with	
  the	
  achievement.	
  	
  
	
  
Send	
  completed	
  nomination	
  package	
  into	
  a	
  single	
  file	
  (pdf	
  or	
  MS	
  word)	
  by	
  February	
  1,	
  2011	
  to:	
  
	
  
                                                                                                                                                                                               awards@cnpn.ca	
  

				
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