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GSA Fellowship

Nomination Form

Nomination Deadline: 1 February
Send an e-mail to awards@geosociety.org with questions.

All fields are required.

Nominating Fellow Information

NOTE: A GSA Fellow may submit two nominations per election cycle, only ONE of which may be as a primary nominator. A GSA member may not be a primary nominator but may be a secondary nominator for no more than TWO nominees per election cycle. [ view supporting materials requirement ]

Name

First

Middle

Last

E-mail:

Affiliation

GSA Member ID

Don't know your Member ID? Click here.

Nominee Information

Name

First

Middle

Last

Title

Affiliation

Address

Street
City	State/Prov	ZIP/Postal	Country

Phone

E-mail

Support Information

The following two members of the Society (at least one of whom must be a Fellow) know the professional qualifications of the nominee and acknowledge that they support this nomination:

Member 1

Name	Fellow Yes No	View supporting materials requirement
Affiliation*

Member 2

Name	Fellow Yes No	View supporting materials requirement
Affiliation*

* At least one sponsor must be from an organization other than that of the nominee.
Not sure if the supporting Members are Fellows? Click here for current list.

Ranking Information

Please indicate the category that most accurately describes the distinguished contributions of the nominee. If more than one applies, select and rank only the categories that most accurately describe the distinguished contributions of the nominee. The selected contributions must be described in the letter of nomination, as well as in the supporting letters.

Rank
1=Most important

A. Publication of the results of geologic research
B. Applied research
C. Training of geologists
D. Administration of geological programs
E. Public awareness of geology
F. Professional organizations
G. Editorial, bibliographic, and library responsibilities
H. Other

Reason for Nomination

Please provide a brief statement (50-word maximum) of reason for nomination, which will be published in the July issue of GSA Today upon the nominee's election.

Statement

50-word maximum (use word processor to check word count before pasting here).