EuChemS Industry Innovation Award nomination

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Nomination – EuChemS Industry Innovation Award 2024

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Proposer information

Full name of the proposer

Prefix First name Last name

Email of the proposer

In which capacity you are submitting this nomination*

Please state your EuChemS Member Organisation*

Please note that nominations must be made by the President/CEO of the Member Organisation

Please state your EuChemS Professional Network*

Please note that nominations must be made by Chair of the Professional Network

Please state your company affiliation*

Please state your job title*

Please state your affiliation*

Nominee information

Please specify if you nominate an individual or a team*

Full name of the nominee*

Prefix First name Last name

Email of the nominee

Affiliation of the nominee*

Full name of a nominee from industry*

Prefix First name Last name

Email of above nominee from industry*

Affiliation of above nominee from industry*

Full name of a nominee from research/academia*

Prefix First name Last name

Email of above nominee from research/academia*

Affiliation of above nominee from research/academia*

Please note that the above specified persons will serve as contact between EuChemS and the team

Please list all additional team members (if any) in the following way: Prefix, First name, Last name, email, affiliation

Please upload the nomination letter*

In the nomination letter, please provide details of the nominee or nominees’ contribution(s) to the field and describe the achievement(s) to be honoured by the award.

Max. file size: 100 MB.

Please upload the CV of the nominee(s)*

Please upload the CV of each nominee. Each cv shall be max. 2 pages.

Drop files here or

Max. file size: 100 MB.

Where exactly in Europe was the innovation done (Country(/ies), City(/ies), organsation(s))

In case the innovation was done in multiple European locations, please specify all

In order to be eligible, at least one nominee should be a member of an EuChemS Member Society. Please specify below which nominees are members of which EuChemS Member Society

Name*

EuChemS Member Society*

Name

EuChemS Member Society

Name

EuChemS Member Society

Name

EuChemS Member Society

Name

EuChemS Member Society

In order to be eligible, the nominee should be a member of an EuChemS Member Society.

Which EuChemS Member Society is the nominee the member of?

First supporting letter (optional)

Max. file size: 100 MB.

In the supporting letter, please address the selection criteria. The supporting letter shall not be from representatitives of the same institution(s) as the nominee(s).

Second supporting letter (optional)

Max. file size: 100 MB.

In the supporting letter, please address the selection criteria. The supporting letter shall not be from representatitives of the same institution(s) as the nominee(s).

If you would like to provide any additional information, please use the box below:

(max. 1500 characters with spaces)

Disclamers and Confirmation of submission

By typing your name in the box below, you declare that the information provided in this form is true and accurate*

By ticking the box below, you declare that no conflict of interest is present

I confirm

By ticking the box below, you declare that the nominee complies with the European Code of Conduct for Research Integrity (https://allea.org/wp-content/uploads/2023/06/European-Code-of-Conduct-Revised-Edition-2023.pdf)*

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After submitting the nomination, the nominator will receive an email confirmation. Please check your spam folder, and in the event that you do not receive a confirmation email, please contact us at awards[at]euchems.eu

EuChemS Industry Innovation Award nomination

Nomination – EuChemS Industry Innovation Award 2024

Proposer information

Nominee information

Disclamers and Confirmation of submission

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