The Herty Medal - 2006 Nomination Form

Description of the Award

The Charles H. Herty Medal is a beautiful solid gold medallion awarded annually by the Georgia Section of the American Chemical Society. The purpose of the award is to give public recognition to the work and service of outstanding chemists who have significantly contributed to their chosen fields. All chemists in academic, government, or industrial laboratories who have been residing in the southeastern United States for at least 10 years are eligible. (For this purpose Southeasern United States is defined as the union of the following states: Virginia, West Virginia, Kentucky, Tennessee, Mississippi, Louisiana, Alabama, Georgia, Florida, North Carolina, and South Carolina.)

REQUIRED WEB form for Nomination
(DEADLINE: February 28, 2006)

Please fill out all the items below. Nominations will not be considered complete otherwise.

1. About the Candidate:
          First Name: e.g., Charles
Last Name: e.g., Herty
Title: e.g., Professor (ca. 1914)
Organization: e.g., University of North Carolina
Email Address: e.g., charles.herty@unc.edu
2. Primary Nominator (YOU!) Information:
          First Name:
Last Name:
Organization:
Telephone:
Email Address:
3. Supporting Nominators Information: (Two are required!)
Supporting Letter #1 Supporting Letter #2
          First Name:
Last Name:
Organization:
Email Address:
4. Basis for Nomination

On what date did the candidate first begin residence in one of the southeastern states described above?
DATE: (Note: reasonable estimates are permitted)

In 30 words or less, what would be the most appropriate citation recognizing the candidate's work in the southeastern United States?

In 30 words or less, what would be the most appropriate citation recognizing the candidate's service in the southeastern United States?

5. E-mail PDF CV & Letters Separately:

Upon submission of this form, you will receive an e-mail confirmation that it has been sent. You will also be asked to send the candidate's CV, your nomination letter, and two supporting letters (all in pdf format) to Prof. Rigoberto Hernandez. The supporting letters may be e-mailed directly by the supporting nominators if they prefer to do so.

Click here to or the form.


 
 

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Last Modified: Thursday, 02-Mar-2006 19:40:32 EST