dsa nomination form.pdf

Vice President for Research
Distinguished Scientist Award Nomination Form
NOMINEE NAME:
DEPARTMENT:
TELEPHONE:
EMAIL:
DATE OF UVA APPOINTMENT:
DATE OF UVA TENURE:
PLEASE PROVIDE THE FOLLOWING:
a) Nomination letter describing the significant body of research for which the
nominee is being nominated, with evidence of impact on field of study, societal
significance, and description of current research.
b) Two (2) or more external letters supporting the nomination and describing the
contributions to, and impact of, the nominee on the field of study, as well as societal
impact of the nominee’s body of research.
TO SUBMIT YOUR NOMINATION:
No later than January 21, 2011, email the nomination form along with a cover
letter and nominator contact information, CV of nominee, and at least two
external letters of support to Dr. Phil Parrish at parrish@virginia.edu, with
copy to Mollie Iseli at mjm8k@virginia.edu.