Nominating Form

INSTRUCTIONS

  • After you have completed the form, press the "Submit"
  • After submitting the form, you will receive a notification email to confirm that it has been received.
  • If you have problems or encounter any difficulties, please email academy@asmusa.org and describe the issue.

 


 

Election to membership (Fellowship) in the American Academy of Microbiology is highly selective. To assist the Committee on Election to Fellowship (COE)
and the Board of Governors (BOG) in this important process, please supply the following information:

NOMINEE INFORMATION

NOMINATOR INFORMATION

NAMES OF ADDITIONAL SUPPORTING FELLOWS
(The primary nominator must contact Fellows and obtain their support for the nomination. Supporters are required to submit a supporting form. No more than one person making or supporting the nomination may be affiliated with the same institution as the nominee.)

Supporting Fellow 1

Supporting Fellow 2

ADDITIONAL NOMINEE INFORMATION











PUBLICATIONS

List the nominee’s 12 most important publications. For each one, please include a complete citation and a brief annotation indicating the significance of the publication and the unique contribution made by the nominee.

Additional Documentation: Curriculum vitae (CV). The nominee's CV should be complete and recently updated. It should include honors and awards, teaching, service, professional society memberships, grant review panels, editorial boards, and a complete list of publications. NOTE: The CV can be sent to academy@asmusa.org at a later date and is not required when submitting this form.



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